Biographical Information Form - 2008
BIOSKETCH
The information you provide below (the Biosketch) will be used by Suzanne Sarfaty,
M.D., Assistant Dean for Academic Affairs, to write a letter of recommendation for you.
PLEASE NOTE: Dr. Sarfaty does not write dean’s letters; this is done via the Office of
Student Affairs.
The Biosketch form should be as complete as possible and account for each year of
your career for the topics listed below. You are encouraged to consult personal records
to ensure the accuracy of the info you provide.
Directions for the Biosketch Form:
1. Save this document to your computer and name the file as follows: your last
name, your first name, Biosketch - month, day, year.doc.
2. Using the table below, fill in all blocks that pertain to you; insert “N/A” when
appropriate. The blocks will expand depending on the amount of info you
provide. To ensure the correct chronology, please include info in the
“Year” column.
3. When complete, send the document as an e-mail attachment to Ana Bediako,
abediako@bu.edu. Do not send paper copies of this form.
Further questions about the Biosketch can be answered by Ana Bediako at
617-638-4167 or abediako@bu.edu.
BIOSKETCH
Name:
Phone #:
Beeper #:
E-mail:
Today’s Date:
1. Reasons for Applying & Your Personal Strengths
Why are you applying for this opportunity?
What personal accomplishments do you feel strengthen your candidacy for this
opportunity?
What are your foremost strengths?
What are your primary weaknesses?
2. Biographical Information
ACTIVITY
DESCRIPTION
YEARS
Medical School
If you entered via an BU Early Pathway: MMEDIC, ENGMEDIC, 7-Year Combined BA-MD, EMSSP,
please note that info here.
Name of School(s)
Medical School Honor
Societies/Awards,
excluding grades or
scholarships
Graduate School
If you are doing a BU Combined MD-PhD, MD-MPH, MD-MA or MD-MBA graduate degree with your MD
degree, please put the graduate degree info here.
Name of School(s)
Graduate School Honors
and Awards, excluding
grades or scholarships
Field of Concentration
Graduate Degree
Undergraduate School
Please enter names of all undergraduate schools attended.
Name of School(s)
Major
Minor
Undergraduate Degree
Undergraduate Awards
and Honors (Dean’s List,
graduated cum laude, elected to
Honors Societies. Do not
include grades or scholarships.
Indicate which school granted
Honors or Awards if you
attended more than one
institution.)
Research
Give a 1 or 2 sentence description, and include the full name and degree (MD, PhD, MPH, etc.) of the
preceptor, department and institution. Indicate if you were an author on any published or presented
research, and the full name and year of the journal or conference.
Medical School Research
Graduate Research
Undergraduate Research
Career/Job Information
Describe any jobs/careers you had between college/grad school/medical school, include name of
company and dates worked.
Extracurricular Activities
Include student organizations, school/community volunteer work, committee/society memberships,
tutoring, jobs.
Medical School
Graduate School
Undergraduate School
Career/Job
Military Branch Health Professions Scholarship (if applicable)
Describe which branch of the service your scholarship is for, and for how many years you have the
scholarship.
Other information you think Dr. Sarfaty would find helpful