ࡱ> \^[ Objbj33 ywQ_Q_O$>$xbbbbb1333333$*fW"Wbbyl"bb11AR0Fq(FF\WW(F :   DIDACTIC PROGRAM IN DIETETICS APPLICATION TENNESSEE STATE UNIVERSITY DEPARTMENT OF FAMILY AND CONSUMER SCIENCES 3500 John A. Merritt Blvd. Box 9598 Nashville, TN 37209-1561 Attn..: Dr. Elyse Shearer RD/LDN, Director (615) 963-4933 (P) (615)963-5033 (F) Application to enter program _____ Semester 20_______ PLEASE PRINT OR TYPE Date: ____________________________ T number if TSU student: _________________________ Name: ____________________________________________________________________________________ Last First MI Maiden Address: __________________________________________________________________________________ Street City State Zip Cell phone number: ___________________________ Preferred email address: _________________________ Other contact information ____________________________________________________________________ Are you currently enrolled at TSU? _____ Yes _____ No If yes, current overall GPA _______ EDUCATION HISTORY: Transcript (other than TSU) must be provided with application. Number of credit hours completed at TSU, if applicable: ___________ Transfer hours: ___________________ List the colleges/universities that you are presently attending or have attended in the past, beginning with the most recent. Include TSU if you attended in the past and are not a current student: Institution Dates Attended GPA Degree Awarded _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Complete the following regarding College courses taken: Course Date Completed Final Grade Institution Anatomy & Physiology I/Lab _____________________________________________________ Elementary Nutrition _____________________________________________________ General Chemistry I/Lab _____________________________________________________ General Chemistry II/Lab _____________________________________________________ Food Principle/Meal Management _____________________________________________________ Please attach a letter, no more than one page long, single spaced and in 12 point font, with this application that addresses your desire to become a dietitian and your career goals. NOTES: The dietetics profession requires completion of a 1200 hour supervised practice program (dietetic internship program or ISPP) following the undergraduate program in dietetics. Admission to dietetic internship programs is highly competitive and there is no guarantee of acceptance to an internship upon completing the BS degree. Students entering health related careers must be of high moral character. A criminal background check is required for some of your field experiences in courses. Prior criminal charges that are directly pertinent to the applicants prospective program could affect the individuals ability to be allowed in health care settings or to receive a state licensing permit and sit for the national board examinations. A student with previous criminal charges is advised to consult with the board regarding licensure/registration eligibility. For more information, contact the Director of the Undergraduate Program in Dietetics. I have read and understand the above information. Signature: ___________________________________________________________ Date: ________________________________ Please sign and date verifying that you have read the information provided. Mail or fax this application to the above address. Once we have reviewed your information, we will contact you for an interview if you have met the eligibility requirements for the Didactic Program in Dietetics at 91Ƭ. Thank you for your interest in our program. 91Ƭ Admissions Criteria for Didactic Program in Dietetics (DPD) Prospective students will be considered for entry to the DPD based on the following criteria: 1. Cumulative GPA = 2.75 or better 2. Achievement of at least junior status at the university (i.e. 60+ hours). These hours must include the courses listed in items 3 and 4. 3. Grade of B or better in the following courses: NUFS 1110 Food Preparation and Meal Management NUFS 2110 Elementary Nutrition 4. Grade of C or better in each of the following courses on the first attempt: BIOL 2210 and 2211 Anatomy and Physiology I and lab CHEM 1110 and 1111 General Chemistry I and lab CHEM 1120 and 1121 General Chemistry II and lab 5. Completion of application packet, which includes: DPD admission application Current transcripts from TSU and/or any other relevant universities or colleges attended Completion of interview with dietetics faculty /01KLMxy , @ A B L W X | ~     / 1 L ŽŽŽŽŽh. CJaJh%CJaJh%5CJ\aJh. 5CJ\aJhCJaJhg!sCJaJh%CJaJh. CJaJh]CJaJh. h%5CJaJh. h. 5CJaJh]5CJaJjh8vUmHnHuh%00Lx A B X | ~  / 1   s u $a$gd. gd]    L m n s u % & ' ( - L O ^ h l m  W Z \ k m ~  FG0134<P]_klȽȽ𲧲𧧧𧲧h. 6CJ]aJh%6CJ]aJh%5CJ\aJh. 5CJ\aJh. CJ\aJh. h. CJ\aJh. CJaJh%CJaJh"tCJaJB & ( l m Z \ FG13la  $ '_ay   @H.02 2467xy]  <º¶h,h"th(\h"thR5hRh]h]5CJaJh]CJaJh]5CJ\aJh%5CJ\aJh%CJaJh. 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