College of Pharmacy
Division of Outreach and Nontraditional Education
BioPharma Regulatory Affairs Program
Student Information Sheet
Before submitting the Student Information Sheet to the UGA Regulatory Affairs
Program, students should be aware of the following program characteristics and criteria.
Your submission of this profile sheet acknowledges your understanding and willingness
to abide by these criteria.
1. This abbreviated application applies only to the Regulatory Affairs (RA) or
Clinical Trials (CT) Certificate Programs. It does not apply to the RA Master’s
Program.
2. You can apply only to one certificate program at a time, not both.
3. Understand the price deferential before you enroll in the RA Program. We
operate on an e-rate basis. Check with the UGA Registrar’s or Bursar’s
office for pricing information.
4. You must be currently enrolled in a UGA or GA Tech Graduate program in order
to use this abbreviated application form.
5. The RA and CT Certificate programs are part-time programs ONLY. At no point
do we offer a full cadre of course offerings.
6. Our program is about 90% online using the course management system
supported by the University of Georgia.
7. Students are expected to participate in all live or face-to-face sessions.
Face-to-face session will occur on the UGA Gwinnett Campus evenings or
weekends. Each instructor will identify class meetings on his/her course syllabus.
8. As a graduate student, your home program is the program into which you were
admitted. For advising you should always seek clearance from your academic
advisor. However, you must get RA Department permission to enroll in RA and
CT courses.
9. The RA Program is a PC-based program, not a MAC/Apple. All of the content
and lectures are intended to be viewed in a PC-based Operating System. If you
opt to use another operating system, you will need to get support elsewhere,
such as UGA’s EITS Department.
10. The recommended web browsers for this program are Internet Explorer and/or
Mozilla Firefox.
11. All assignments must be submitted as PC-based programs, like MS Word
(.docx), Excel (.xlsx) or PowerPoint (.pptx).
12. Important information is communicated to students vis-à-vis the listservs
maintained by the Regulatory Affairs Department. The University recognizes
email as an official means of communication. Students are expected to check
their University e-mail account, or the account to which their University e-mail is
forwarded. Thus, it is your responsibility to regularly check your email account
for important departmental communication.
Student information sheet.docx - UGA Regulatory Affairs – abbreviated application
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College of Pharmacy
Division of Outreach and Nontraditional Education
BioPharma Regulatory Affairs Program
Student Information Sheet
Please complete this form and return as an e-mail attachment to Cindy Davenport at:
cdavpt1@uga.edu.
If you prefer to mail or fax the form, please send it by US mail to the following address:
Cindy Davenport
UGA College of Pharmacy Regulatory Affairs
2530 Sever Rd, Lawrenceville, GA 30043
Fax: 770-357-3805
Please provide the following information. The form will be placed in your Regulatory Affairs
student file. If you change your address, please use this form to update your contact
information. Your submission of this profile sheet acknowledges your understanding and
willingness to abide by criteria listed on page one.
(required)
Certificate Program of interest:
Your Contact Information:
Last Name
First Name
Middle Name
Home Address
City/State
Zip Code
Home Phone
Work Phone
Cell Phone
Your UGA Email Address/UGA MyID
*Preferred email address if different than your UGA MyID
Current Program of Enrollment (e.g. UGA’s MBB, MPH Programs, GA Tech’s BME Program, etc.)
Your UGA University Identification Number (if you have one. If not, leave blank.)
*Important information is communicated to students vis-à-vis the listservs maintained by the Regulatory Affairs
Department. The University recognizes email as an official means of communication. Students are expected to
check their University e-mail account, or the account to which their University e-mail is forwarded. Thus, it is your
responsibility to regularly check your email account for important departmental communication.
**With the initial submission of this document, please also consider submitting your digital photograph and resume.
The Department uses digital student photos to create course directories that are in password secure environments.
SAVE FORM and manually
send as attachment
SUBMIT FORM by auto
launching email interface
Student information sheet.docx - UGA Regulatory Affairs – abbreviated application
PRINT FORM for mailing
or faxing
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