Academics (continued) For each two- or four-year college/university attended, provide the following information: Year(s) Degree Cumulative Name Major Reason for leaving attended attained GPA Have you ever been enrolled at the University of Washington (UW)? →) (Type ‘yes’ or ‘no’ in the box at right If you answered ‘yes’ to (A), provide your UW student number: If you answered ‘yes’ to (A), list the dates (month/year) you attended UW: Have you ever applied to a UW Biomedical PhD program? →) (Type ‘yes’ or ‘no’ in the box at right If you answered ‘yes’ to (B), list the department applied to and the year you applied below: Department: Year applied: Department: Year applied: Department: Year applied: Have you ever applied to a professional degree program (MD, PharmD, DDS, nursing, etc.)? →) (Type ‘yes’ or ‘no’ in the box at right If you answered ‘yes’ to (C), list the program applied to and the year you applied below: Program: Year applied: Program: Year applied: Program: Year applied: Program: Year applied: If you answered ‘yes’ to Have you taken the GRE? →) (D), list your GRE score: (Type ‘yes’ or ‘no’ in the box at right If you answered ‘yes’ to Have you taken the MCAT? →) (E), list your MCAT score: (Type ‘yes’ or ‘no’ in the box at right CONTINUED ON THE NEXT PAGE
Academics (continued) For each two- or four-year college/university attended, provide the following information: Name Year(s) attended Degree attained Major Cumulative GPA Reason for leaving Have you ever been enrolled at the University of Washington (UW)? (Type ‘yes’ or ‘no’ in the box at right →) If you answered ‘yes’ to (A), provide your UW student number: If you answered ‘yes’ to (A), list the dates (month/year) you attended UW: Have you ever applied to a UW Biomedical PhD program? (Type ‘yes’ or ‘no’ in the box at right →) If you answered ‘yes’ to (B), list the department applied to and the year you applied below: Department: Year applied: Department: Year applied: Department: Year applied: Have you ever applied to a professional degree program (MD, PharmD, DDS, nursing, etc.)? (Type ‘yes’ or ‘no’ in the box at right →) If you answered ‘yes’ to (C), list the program applied to and the year you applied below: Program: Year applied: Program: Year applied: Program: Year applied: Program: Year applied: Have you taken the GRE? (Type ‘yes’ or ‘no’ in the box at right →) If you answered ‘yes’ to (D), list your GRE score: Have you taken the MCAT? (Type ‘yes’ or ‘no’ in the box at right →) If you answered ‘yes’ to (E), list your MCAT score: CONTINUED ON THE NEXT PAGE