Applied Ecopsychology: benefits from reconnecting with Nature.

INSTITUTE OF GLOBAL EDUCATION
Special NGO consultant to the United Nations Economic and Social Council
DEPARTMENT OF INTEGRATED ECOLOGY
Michael J.Cohen, Ed.D. Director

Graduate Student Cooperative Program

Greenwich University Degree Program Application Form

Application Instructions:

1. COMPLETE THIS APPLICATION and the IGE GRADUATE STUDENT COOPERATIVE CONTRACT that accompanies it (in another email.)

2. MAKE A HARD COPY OF THE APPLICATION AND POSTAL MAIL IT WITH YOUR ADMISSION FEE CHECK OR MONEY ORDER TO THE ADDRESS BELOW.

3. EMAIL THIS COMPLETED ADMISSION APPLICATION and the IGE GRADUATE STUDENT COOPERATIVE CONTRACT TO: nature@pacificrim.net

Institute of Global Education
Graduate Student Cooperative

Dr. Michael J. Cohen, Director
Chair: Greenwich University Applied Ecopsychology/Integrated Ecology
Faculty: Portland State University Extended Studies

P. O. Box 1605,?????

Friday Harbor, WA 98250
888-285-4694 (toll free)
360-378-6313
www.ecopsych.com
nature@pacificrim.net

Greenwich University and IGE Graduate Student Cooperative Application for Admission

We have found, over the years, that asking people to fill in a series
of blanks or boxes on a prepared form is rarely the best way for
them to tell us about themselves and why they are interested in
earning a Bachelors, Masters, or Doctorate. We have, as a result,
left things quite open-ended and invite you to communicate with us in a
manner that makes the most sense to you yet allows us to learn as much
about you as possible so we may properly evaluate your application.

Please type or print clearly.

Name: _________________________________________________________________
FIRST MIDDLE/INITIAL LAST

Address: _______________________________________________________________

City: ____________________ State:______________Zip/Postal Code: _____________

Country:_________________________________ Date of Birth: ___________________

Telephone numbers: (include international access code):

Home: ___________________________ Work: ________________________________

Fax: _____________________________ Email: ________________________________

When is the best time to reach you: AM or PM by
Phone or Fax or Email

Degrees held: ___________________________________________________________
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Degree sought:

( ) Bachelors

( ) Masters
( ) Masters with Bachelor's Waiver

( ) Doctorate
( ) Doctorate with Master's Waiver

Field of Study: Social Science

With Emphasis in: Applied Ecopsychology/Integrated Ecology

2
Now tell us about yourself (continue on a separate sheet of paper
if necessary). Tell us about your educational background since
completion of high school. Discuss your degrees completed,
further coursework, non-traditional and informal studies, and
continuing education seminars.
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Tell us about your occupation including how long you have worked
with your present employer, your advancements through the company,
what you do, skills required, and what you have learned from working there.
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3
Where would you like to see yourself 10 years from now and how will your degree help you:
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Tell us why you have chosen to pursue an Applied Ecopsychology/Integrated Ecology degree at this time. Why have you applied to the Greenwich University program?
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Use the check list on the back page to be sure that everything necessary for your application
is included. Then, read and sign the following statement. Send this form, along with the rest
of your application and a cheque for US$60. You may charge it to your Visa Credit
Card by using the form and payment point at Payment Form. Please be sure to accompany all payments with the Payment Form. It's one of the email forms that you receive and save when you register. (or you may copy and paste it in an email by selecting here)

Thank you.

I have completed the application above as well as the accompanying IGE GRADUATE STUDENT COOPERATIVE CONTRACT. The information supplied on my application is true and accurate. I give permission for Greenwich University and the IGE Graduate Student Cooperative to verify and confirm any aspect of the information provided on this form and on supporting materials. All work submitted on this application my own, except where clearly stated to the contrary. I understand and accept that if at any time it is demonstrated that I have misrepresented myself or my work, I may be dismissed from the Greenwich University and IGE Graduate Student Cooperative with no refund of fees paid, and any degree(s) awarded may be rescinded. I acknowledge that this application is void after six months unless it is extended with permission.

NOTE: It is more secure to send credit card payments via our paypal station

Signature: _____________________________ Date: ____________________________
Credit Card #: ___________________________________________________________
Type: ________________________ Expiration Date: ____________________________

4 APPLICATION CHECKLIST

Keep a copy of the application form for your own records.

Along with this application we will need:
____ A letter from you which provides us with information on your proposed field of study and what (if anything) you have already done in this field academically, professionally, as
a hobby, a volunteer, etc., and

____ If you are applying for a Masters or Doctorate, and already have a Masters thesis or a
Doctoral dissertation topic in mind, or if you have already done some work on such a
project, you should describe this in some detail, enclosing additional materials as
necessary and appropriate.

____ A copy of all transcripts and other academic records as specified on the application.
Photocopies of transcripts are acceptable for submission with the application. However, when you enroll, we will require certified transcripts submitted to us from the school where they were issued. We may require that you obtain a credit evaluation from a recognized agency.

____ At least 2 letters of reference from people who know you well. If possible, at least one
should be from an employer or person familiar with your career and one should be from
a person familiar with your academic performance.

____ A current resume or C.V.

OPTIONAL ITEMS

____ Any letters, additional sheets describing yourself, your educational and career
experience, goals, etc., copies of things written (articles and books, published or
unpublished) or otherwise created (audio/video tapes or illustrations). Please do not
send any original irreplaceable documents. Send copies. Although we try to be
very careful, we do not wish the responsibility of having rare documents on hand.

____ I.D. size photograph. If you can make this a full face photo, the face portion 1" wide and
1-1/2" tall, or a JPEG file, we can use this photo to issue you a student I.D. card upon
enrollment. This card is useful to identify you as a student, thus gaining student
discounts, access to university libraries as a visiting student and often lower rates at
special events. If you would like to have an I.D. card, please mention this at the time
of your enrollment.

____ Anything else that you think might be useful in helping us to know you better, and to
understand your motivation in applying for admission to Greenwich University.
Be sure to enclose application fee of US$60. This is not refundable. If you wish
to charge this to a Visa, Master Card, Diners or American Express card, using the form and payment point at Payment Form. Please be sure to accompany all payments with the Payment Form.. The application fee will allow your file to remain open for six months. If you are accepted and do not enroll within that time, you must reapply for admission or petition for an extension.

HAVE YOU SIGNED THE APPLICATION!