THE UNIVERSITY OF BRITISH COLUMBIA
The University of British ColumbiaGENOME SCIENCE + TECHNOLOGY
GRADUATE PROGRAM
Application FormLast name (family name):
First name (personal name):
Sex: FORMCHECKBOX Male FORMCHECKBOX Female Date of birth:
Postal Address:
E-mail address:
Telephone:
If applicable, list any other names on your educational
records:
Citizenship:
Do you intend to apply to a medical school within a year of
submitting this application?
FORMCHECKBOX Yes FORMCHECKBOX No
Are you applying for an NSERC-CREATE scholarship? FORMCHECKBOX
Yes FORMCHECKBOX No
Have you applied for outside external scholarships (i.e. NSERC,
CIHR, MSFHR)?
FORMCHECKBOX Yes FORMCHECKBOX No If yes, which one?
Previous Degree(s):
1) Briefly describe why you are applying to the Genome Science
& Technology graduate program, and your career objectives for
attaining a degree. Use a maximum of 2 pages.
2) Briefly discuss your background in the life sciences.
Information should be provided about academic experience, work
experience and any other factor that may be of assistance to the
Admission Committee. Use a maximum of 2 pages.3) Briefly discuss
your background in the quantitative sciences (mathematics,
statistics, computer science, engineering). Information should be
provided about academic experience, work experience and any other
factor that may be of assistance to the Admission Committee. Use a
maximum of 2 pages.4) List the names of Genome Sciences &
Technology Graduate Program faculty whose research is of interest
to you, and briefly describe your interest. Be sure to mention any
research interests or relevant experience you have which may
parallel or touch upon the research of faculty.5) List your recent
honours, awards and any publications.6) List employment/work
experience related to your proposed course of study.
Position:
Employer:
Dates, from/to:
Nature of work:
Name and contact information for a reference within the
company:
Position:
Employer:
Dates, from/to:
Nature of work:
Name and contact information for a reference within the
company:
7)Please make arrangements for three strongly supportive letters
of reference to be written on your behalf. They can either be sent
directly from the Reference or enclosed in a sealed envelope with
the Referees signature across the seal. Please provide the names,
institutions and email addresses of individuals asked to write
letters of recommendation:NameInstitutionEmail
8)Official transcripts from all post-secondary institutions
attended. These can either be sent directly from the institution or
enclosed in a sealed envelope.
9)For students whose first language is not English or have not
attended an English-speaking post-secondary institution, please
provide official TOEFL score. (Use University code: 0965 Dept.
code: 99). Minimum scores for Tests of English as a Foreign
Language:
TOEFL (internet-based) overall score of 100
MELAB 87-88
IELTS overall band 7
Additional information: Please submit any additional information
regarding your educational or employment history, proposed
research, or any other factors that you think will bear upon your
admission. Use a maximum of 2 pages.Complete and submit this
application form to the GSAT Program Coordinator (preferably
electronically to [email protected]) prior to the admissions
deadline. Supporting documentation can be sent by postal mail. When
we receive your transcripts, letters of reference and completed
application form, we will open a file for your application and send
it to our Admissions Committee.
Genome Science + Technology Graduate Program Coordinator100-570
West 7th Avenue
Vancouver, BC V5Z 4S6
Tel: (604) 707-5803
Fax: (604) 876-3561
January 2012PAGE 2
January 2012
