2018 SIPP Application

1) During the spring of 2018, will you be: *

( ) An undergraduate student ( ) A graduate student
( ) A professional

2) And, are you at student at Stanford University or some other university?

( ) Stanford University
( ) Some other university

3) Are you enrolled in a master’s program or a Ph.D. program?

( ) Master’s program ( ) Ph.D. program

4) Please enter your email address:

_________________________________________________

5) Your final cost for SIPP 2018 will be $XXXX. This includes three weeks of instruction and room and board at Stanford University.

Before you submit your application to SIPP now, do you commit now 100% for sure that if you are

accepted, you will definitely pay all required fees ($XXXX) by the deadlines for payments and that you will definitely attend SIPP?

The reason we are asking you this question is that we have found some people who are possibly interested in attending SIPP say to themselves, “I’m going to apply and see if I get in. If I get in, then I’ll see whether I can come up with the money to attend. Maybe I will come up with the money, and maybe I won’t. If I don’t come up with the money after I’m accepted, I’ll just withdraw my application, and no harm will be done.”

But actually, that’s not correct. If you submit this application now and are accepted, you will take one of our slots, which means that other people who want to attend SIPP and can pay the fee may not be accepted. Also, if you apply now without knowing for sure that you have the money to pay the full fee, you are asking SIPP staff to spend time reviewing your application and writing to you and perhaps calling you on the phone. This takes time and costs money.

To be fair to other SIPP applicants and SIPP staff, we ask you please NOT to apply now unless you are 100% willing to commit now that you definitely have available all the funds needed to attend SIPP .

If you don’t know yet if you will have the money, then please do NOT apply and wait to submit your application after you have confirmed that you definitely have the money available.

Now, please answer this question:

Do you commit now 100% for sure that if you are accepted, you will definitely pay all required fees ($XXXX) by the deadlines for payments and that you will definitely attend SIPP?

*

( ) I commit now 100% for sure to pay all fees by the deadlines and will attend. ( ) I am not able to make a 100% for sure commitment to pay all SIPP fees.

10) Thank you for your commitment to attending SIPP this summer. If your application is approved, you will receive two emails. The first will announce your acceptance into SIPP, and the second will be your SIPP invoice. At SIPP, we accept payment in three different forms: Credit card, Direct Bank or Wire Transfer, and Check. Your invoice will have instructions for payment depending on your chosen method of payment. Please indicate below your preferred method:*

( ) Credit Card (Please note: There will be a 3% processing fee for each transaction)
( ) Wire or Direct Bank Transfer (Please note: There will be a $50.00 processing fee per transfer) ( ) Check (Please note: There are no processing fees for checks.)

11) Please complete the fields below.

First Name*: _________________________________________________

Last Name*: _________________________________________________

Street Address*: _________________________________________________

Apt/Suite/Office: _________________________________________________

City*: _________________________________________________

State*: _________________________________________________

Zip*: _________________________________________________

Country*: _________________________________________________

Phone Number (IF OUTSIDE THE U.S.: Please type your phone number as it must be dialed by a person in the U.S. calling you)*: _________________________________________________

Mobile Phone (IF OUTSIDE THE U.S.: Please type your phone number as it must be dialed by a person in the U.S. calling you)*: _________________________________________________

Emergency Contact Name*: _________________________________________________

Emergency Contact Phone Number (IF OUTSIDE THE U.S.: Please type your phone number as it must be dialed by a person in the U.S. calling you)*: _________________________________________________

What is your gender?*

( ) Male
( ) Female

12) Please complete the fields below.

Graduate University Name*: _________________________________________________

Graduate University City and State*: _________________________________________________

Graduate Major*: _________________________________________________
Graduate Minor (if applicable): _________________________________________________

Current GPA (If you are unsure of how to calculate your GPA or do not receive one at your institution, please email your transcript to: SIPP2017@gmail.com.)*: _________________________________________________

Expected graduation date*: _________________________________________________ Expected Degree*: _________________________________________________

Dissertation Advisor (if applicable): _________________________________________________

13) Please complete the fields below.

Undergraduate University Name*: _________________________________________________

Undergraduate University City and State*: _________________________________________________

Undergraduate Major*: _________________________________________________

Undergraduate Minor (if applicable): _________________________________________________

Current GPA (If you are unsure of how to calculate your GPA or do not receive one at your institution, please email your transcript to: 2018SIPP@gmail.com.)*: _________________________________________________

Expected graduation date*: _________________________________________________ Expected Degree*: _________________________________________________

14) Please complete the fields below.

Employer Name*: _________________________________________________ Employer City and State*: _________________________________________________

Job Title*: _________________________________________________

Highest Degree received*: _________________________________________________

Year highest degree was received*: _________________________________________________

Granting Institution of Highest Degree*: _________________________________________________

Degree Major*: _________________________________________________

15) First, please list the titles, instructors and institutions of all courses you have taken that are relevant to political psychology.

If you have not taken any of these courses, please type “None”

Please provide the name and address and email address and telephone number of a faculty member or professional who can write a

letter of recommendation for you. If needed, we will contact the individual to ask for a letter. *

____________________________________________
____________________________________________
____________________________________________
____________________________________________

16) If you would prefer to include the information above in a file, please do so here. Just type “See uploaded file” in the box above.

________1
________2
________3

17)
Please explain why you are interested in political psychology.

*

____________________________________________
____________________________________________
____________________________________________
____________________________________________

18)
Why would you like to attend the Summer Institute in Political Psychology?

*

____________________________________________
____________________________________________
____________________________________________
____________________________________________

19)

Please describe your research interests.

____________________________________________
____________________________________________
____________________________________________
____________________________________________

20)
Please describe any research projects you are currently working on.

*

____________________________________________
____________________________________________
____________________________________________
____________________________________________

21) Please upload any supporting documents available, including a reference letter and CV/resume.

________1

Thank You!