University of Minnesota



University of Minnesota – Integrated Biosciences Graduate Program Supplemental ApplicationNOTE: Upon completion, you must upload this application online through the Apply Yourself application system under the Graduate Program Supplementary Information Section: Graduate Program Additional Application. Admission to the Graduate School is a prerequisite for award of Graduate Assistantships and Graduate School Fellowships. PERSONAL DATALast Name FORMTEXT ?????First FORMTEXT ?????Middle FORMTEXT ?????Current Address FORMTEXT ?????City FORMTEXT ?????State FORMTEXT ?????ZIP FORMTEXT ?????Permanent Address FORMTEXT ?????City FORMTEXT ?????State FORMTEXT ?????ZIP FORMTEXT ?????Current Phone FORMTEXT ?????Permanent Phone FORMTEXT ?????e-mail FORMTEXT ?????ADMISSION OBJECTIVEProposed Entry Year (fall only) FORMTEXT ?????Proposed Campus – Specify Duluth or Twin Cities FORMTEXT ?????DEGREE OBJECTIVEDegree Sought (M.S. or Ph.D.) FORMTEXT ?????Proposed Advisor(s) FORMTEXT ?????Proposed Emphasis (CMP, EOP, CB) FORMTEXT ?????Although not a program requirement, you are strongly encouraged to be in direct contact with any IBS faculty members with whom you wish to work. Please list any/all faculty contacted here FORMTEXT ?????SCORESOfficial GRE scores (less than 5 years old) must be submitted directly to the University of Minnesota Graduate School. Please also provide your scores below:Graduate Record Examination (report score/percentile):Verbal: FORMTEXT (score) FORMTEXT (percentile)Quantitative: FORMTEXT (score) FORMTEXT (percentile)Analytical Writing: FORMTEXT (score) FORMTEXT (percentile)Subject (optional): FORMTEXT (score) FORMTEXT (percentile) FORMTEXT (name)TOEFL: FORMTEXT (score)TOEFL Format: Computer-based FORMCHECKBOX Internet-based FORMCHECKBOX Paper-based FORMCHECKBOX RECOMMENDATIONSList the names of three people well acquainted with your academic work and professional experiences that you are asking to write letters on your behalf. Letters of recommendation should be submitted online through Apply Yourself. NamePosition/TitleInstitution FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????FINANCIAL AID SOUGHTIndividual departments/programs award and administer Graduate Assistantships. Applicants seeking possible Fellowships that provide a full stipend plus tuition must be submitted/complete by January 15 for consideration. Please indicate the specific category of support for which you wish to apply. If more than one, rank your preferences.Teaching Assistantship FORMTEXT ?????Research Assistantship FORMTEXT ?????Graduate School/IBS Fellowship FORMTEXT ?????SIGNATUREI certify that the information on this form is complete and accurate. FORMTEXT ????? FORMTEXT ?????SignatureDateHOW DID YOU HEAR ABOUT OUR PROGRAM: FORMTEXT ?????The University of Minnesota subscribes to the following Council of Graduate Schools Resolution: If a student accepts an offer of financial aid (assistantship, scholarship, fellowship, traineeship) before April 15 and subsequently desires to withdraw, the student shall have complete freedom to do so through April 15, by submitting the resignation in writing. However, an acceptance given or left in force after April 15 commits the student not to accept another offer without first obtaining a written release from the institution to which the original commitment was made.EQUAL OPPORTUNITY STATEMENT: The University of Minnesota is committed to the policy that all persons shall have equal access to its programs, facilities, and employment without regard to race, color, creed, religion, national origin, sex, age, marital status, disability, public assistance status, veteran status, or sexual orientation. Inquiries regarding compliance may be directed to the Director, Office of Equal Opportunity and Affirmative Action, 419 Morrill Hall, 100 Church Street S.E., University of Minnesota, Minneapolis, MN 55455, (612) 373-7969, or to the Director of the Office of Civil Rights, Department of Education, Washington, D.C. 20902, or to the Director of the Office of Federal Contract Compliance Program, Department of Labor, Washington, D.C. 20210.PRIVACY STATEMENT: The University of Minnesota is bound by U.S. and Sate of Minnesota privacy laws. In compliance with such statues, the Graduate School will release no information about an application to anyone other than the applicant, the Admissions Committee in the applicant’s proposed major field, and the Fellowship Committee without written permission of the applicant. Information will be used either for identification or review purposes. ................
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