University of Minnesota – Integrated Biosciences Graduate Program
Supplemental Application
NOTE: 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 DATA
Last Name
First
Middle
Current Address
City
Permanent Address
City
Current Phone
Permanent Phone
State
ZIP
State
ZIP
e-mail
ADMISSION OBJECTIVE
Proposed Entry Year (fall only)
Proposed Campus – Specify Duluth or Twin Cities
DEGREE OBJECTIVE
Degree Sought (M.S. or Ph.D.)
Proposed Emphasis (CMP, EOP, CB)
Proposed Advisor(s)
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
SCORES
Official GRE scores (less than 4 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:
(score) (percentile)
TOEFL: (score)
Quantitative:
(score) (percentile)
TOEFL Format: Computer-based
Analytical Writing: (score) (percentile)
Internet-based
Subject (optional): (score) (percentile) (name)
Paper-based
RECOMMENDATIONS
List 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.
Name
Position/Title
Institution
FINANCIAL AID SOUGHT
Individual 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
Research Assistantship
Graduate School/IBS Fellowship
SIGNATURE
I certify that the information on this form is complete and accurate.
Signature
Date
HOW DID YOU HEAR ABOUT OUR PROGRAM:
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.