Graduate Studies in Biochemistry

Questionnaire
for
Potential Graduate Students

To assist potential supervisors in matching with potential students, we have
identified a list of questions that are commonly asked in interviews.

Completion of this form will facilitate subsequent interviews and help us to direct you to appropriate supervisors.

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Fill in the following form and click on the SUBMIT button below.

1. Last Name:
2. First Name:
3. E-mail: (give one only)
4. Current Degree Program/University:
5. Undergraduate Thesis (If Applicable)
a) Title:
b) Supervisor:
6. Ultimate Degree Goal:	Master's PhD
7. Career Goals:
8. Research Interests:
9. External Funding a) Applied:	None NSERC CIHR OGS Other. Please specify:
b) Received:	Yes. Please specify: No.
10. Have you applied to other graduate programs?	Yes. Please specify: No.
11. Why have you applied to Western?
12. Have you applied or do you plan to apply to a professional school for the upcoming academic year?	Yes. How will this choice influence your pursuit of a graduate degree? No.
13. Have you contacted any potential supervisors in our Department?	Yes. Please specify: No.

Please contact Barb Green (Biochemistry Graduate Administrator), if you have any questions.

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Last updated by Lynn Weir, June 2010.