Department of Bioengineering, Stanford University Application for internal transfer for graduate study BIOGRAPHICAL INFORMATION First Name Middle Name Campus or local phone Email Last Name PROGRAM INFORMATION What is your current department? Who is your current advisor? Will your current advisor continue to provide support? (Please provide a letter from your advisor) Year in current program Which fellowships, if any, do you currently hold? Do you plan to continue research in your current lab? What phase of the program do you want to transfer into (M.S. or Ph.D)? If M.S., do you intend to pursue that Ph.D after the M.S. degree? Who is your intended advisor in Bioengineering? Why do you want to transfer to Bioengineering? Please attach to this application (limit to 2 pages). EDUCATIONAL HISTORY University Attended Location Dates GRE Scores Analytical Wrt (prior to 10/02) Analytical Wrt (after 10/02) Undergraduate GPA: Master’s Program GPA (if relevant): Quantitative Degree Verbal Directions: Please complete the application form, transfer essay, and two letters of recommendation from your advisor or other Stanford faculty members. (This requirement does not apply if your application is being reviewed during your first quarter at Stanford). A Graduate Authorization Petition needs to be submitted electronically in Axess from the “Petitions and Forms” option in the Axess drop down menu. This form will require approval from your current department. This is usually the Student Service Officer’s signature, not the Chair’s. The Bioengineering Department will approve the petition after the application has been evaluated. Return these documents in person or by ID mail to Bioengineering Graduate Admissions, Clark Center Room S166, Mail Code: 5444. Please address any questions to bioengineering@stanford.edu Pre-requisites: The Bioengineering Department requires evidence of formal technical training or plans to obtain such before matriculation. Please address each area with your previous experience and/or your plan. Include the course title, institution, units and date completed for each area. Full course descriptions may be found at the Bulletin’s Explore Courses website: http://explorecourses.stanford.edu/CourseSearch/ Full course descriptions may be found on the following pages in the Stanford Bulletin: Math 41, 42, 51-53 Biology 41, 42, 43 Physics 41, 43, 45 Chemistry 31, 33 Computer Science 106A Engineering 14, 15, 30, 40, 50 COURSE NUMBER & COURSE TITLE INSTITUTION 1. Mathematics through Multivariable Calculus (e.g. Math 41, 42, 51-53). 2. Series of Undergraduate Biology courses (e.g. Bio 41, 42, 43). 3. Physics (e.g. Physics 41, 43, 45). 4. Series of Chemistry courses (e.g. Chem. 31, 33). 5. Computer Programming (e.g. Engineering 70A, CS 106). 6. Physical Sciences and Engineering (e.g. 14, 15, 30, 40, 50). 7. Please enter any comments, or additional course listings. UNITS DATE COMPLETED