UNIVERSITY OF CALIFORNIA, SAN DIEGO

DIVISION OF BIOLOGICAL SCIENCES
 GRADUATE ADMISSIONS OFFICE
9500 GILMAN DRIVE, LA JOLLA, CA 92093-0348
PHONE (858) 534-8983 FAX (858) 534-4459

Pre-Application for Ph.D. Program in Biology Fall 2009

International Students Only
  • PLEASE TYPE OR PRINT CLEARLY
  • PLEASE DO NOT SEND ANY SUPPORTING DOCUMENTS AT THIS TIME
  • REFER TO THE COVER LETTER FOR COMPLETE INFORMATION

1. CONTACT INFORMATION:

Sex: ____Male ____Female

 U.S. Social Security Number: Birthdate:
Last (Family Name): First (Individual) Name: Middle Name:
Street Address: 
City: State:  Country: Postal Code:
Area Code/Phone Number:
E-Mail Address:

2. PLEASE INDICATE YOUR FIRST (1) AND SECOND (2) AREAS OF INTEREST:

____Molecular Biology ____Cancer Biology ____Ecology, Behavior & Evolution
____Genetics ____Immunology ____Conservation
____Biochemistry ____Virology ____Neurobiology
____Biophysics ____Cell Biology ____Developmental Biology
____Microbiology ____Plant Molecular Biology ____Bioinformatics
____Signal Transduction ____Plant Systems Biology ____UNDECIDED

3. PLEASE LIST THE NAMES OF 1-3 FACULTY MEMBERS WHOSE RESEARCH INTERESTS YOU.

See http://www-biology.ucsd.edu/bioresearch/index.html for faculty research interests.

 

4. UNDERGRADUATE AND GRADUATE SCHOOLS ATTENDED:  

Name of School
City, State
Major
Dates Attended
Degree
Cumulative GPA
Science & Math GPA
             
             
             

5. GRE SCORES (Do not submit Pre-application without GRE scores)
If you have taken the exam more than once, please indicate your best score in each section. 

Raw Score

Percentile

Date(s) Taken/Scheduled to Take

Verbal (Required)

 

 

 

Quantitative (Required)

 

 

 

Analytical (Required)

 

 

 

Subject (Recommended) ____________________

 

 

 

6. PLEASE INDICATE YOUR CITIZENSHIP STATUS:  

____United States Citizen
____U. S. Permanent Resident #_______________________________
OPTIONAL: If U.S. Citizen or permanent resident, please indicate your ethnic identity:

____African-American

____Latin/Latino-American/Hispanic

____American Indian or Alaskan Native

____Philipino/Filipino

____Chicano/Mexican-American/Puerto Rican

____Polynesian/Micronesian

____Chinese/Chinese-American

____Thai/Vietnamese/Other Asian

____East Indian/Pakistani

____White

____Japanese/Japanese-American

____Other (Identify) _____________

____Korean/Korean-American

____Decline to State
____Please indicate your country of citizenship: ______________________________________________

7. NATIVE LANGUAGE:___________________________________

8. TOEFL/TWE SCORES 

Score

Computer or Paper

Date(s) Taken/Scheduled to Take

TOEFL

 

 

 

TWE/ESSAY RATING

 

 

 

9. PLEASE TELL US HOW YOU HEARD ABOUT OUR GRADUATE PROGRAM IN BIOLOGY.

 ____Division of Biology Webpage ____Faculty Recommendation
 ____Program listing in Peterson's Guide ____Personal Referral
____Program listing in Gradschools.com ____Contact in other UCSD office
____Other. Please specify:_________________________________________________

10. LIST ANY RELEVANT RESEARCH, LAB EXPERIENCE, PUBLICATIONS, OR PROJECTS RELATED TO SCIENCE IN WHICH YOU HAVE PARTICIPATED. INCLUDE SCHOLASTIC AWARDS/HONORS, IF APPLICABLE. 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

11. ANY FURTHER INFORMATION YOU WOULD LIKE TO INCLUDE