SAM HOUSTON STATE UNIVERSITY APPLICATION FOR ADMISSION TO CANDIDACY FOR THE GRADUATE PROGRAM IN COUNSELING (LPC and LMFT TRACK)	Name
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I wish to apply for admission to the program of preparation Counseling (LPC/LMFT track). I understand that I must satisfactorily complete the program as outlined in the Graduate College Bulletin and by the counseling faculty at Sam Houston State University.		Attach Small Photo Here

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Degrees Held		Institution(s) Granting - Date		Major		Minor

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Professor from Undergraduate Major AND				Personal Reference (not a family member)
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To be admitted, students must be unconditionally admitted to graduate studies. Attach an up-to-date transcript of all graduate level work. This transcript must show 15 hours of counseling core coursework.