Dear Applicant, Thank you for your interest in the Stem Cell training option of the CSULB Biotechnology Certificate Program. When applying for admission into the program you must send the following items, together in one envelope, directly to Dr. Lisa S. Klig, Department of Biological Sciences, CSULB: 1) Completed Stem Cell training application form 2) Current transcript 3) Professional resume including research experience and scientific presentations/publications 4) Letter of recommendation from a research advisor (in a signed sealed envelope) Once the admissions committee has reviewed all the applications, qualified candidates for the program will be interviewed. This year the deadline for application is noon on Tuesday January 20, 2015, interviews will be conducted February 16-20, 2015. Admissions decisions will be sent by Monday March 2, 2015. Thank you. Sincerely, Dr. Lisa S. Klig Professor, Biological Sciences Director, Biotechnology Certificate Program APPLICATION FORM STEM CELL OPTION OF THE BIOTECHNOLOGY CERTIFICATE PROGRAM DEPARTMENT OF BIOLOGICAL SCIENCES CALIFORNIA STATE UNIVERSITY, LONG BEACH Academic year 2015-2016 Name: Address: Phone: e-mail: Student ID # GPA Provide your grade in the following courses (use “X” if you haven’t taken the course). GRADE Biotechnology (BIOL477/577) Biochemistry (CHEM 441A ) Biochemistry (CHEM 441 B) Biochemistry (CHEM 448) Bioethics and Public Policy (BIOL 462/562) Developmental Biology (BIOL 443/533) Genetics (BIOL 370 or MICRO 371 & 372) Molecular Cell Biology (BIOL 340 and/or 540) Molecular Cell Laboratory (BIOL440L) Molecular Genetics (BIOL 473/573) Stem Cell Biology (BIOL 432/532) Directed Research at CSULB (BIOL496/697, or MICRO 496/697, or CHEM 496/697) Seminars (BIOL 480/580) Briefly describe your experience with tissue culture and/or sterile technique. (100 words maximum) Briefly describe your future career plans/goals. (100 words maximum) Describe your interest in stem cell research.(100 words maximum) Signature of the Applicant: Date: