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<TITLE>UMKC SBS Graduate Program Info Request</TITLE>
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<P><FORM METHOD=POST ACTION="/cgi-bin/formmail.pl"><INPUT TYPE=hidden NAME="recipient" VALUE="umkc-sbs-doc@umkc.edu"><INPUT NAME="subject" TYPE="HIDDEN" VALUE="Graduate Program Info Request"><INPUT type=hidden name="required" value="realname,address"><INPUT type=hidden name="sort" value="order:realname,email,phone,address,interest,entermonth,enteryear,gradmonth,gradyear,gradschool,gpa,gre,uscitizen,permresident"><INPUT type=hidden name="env_report" value="REMOTE_HOST,HTTP_USER_AGENT"><A HREF="sbshome.html"><IMG SRC="gif/sbslogo.gif" ALT="[SBS Home]" HSPACE=10 HEIGHT=97 WIDTH=103 ALIGN=LEFT></A></P>
<H1><BR>
SBS Graduate Program Info Request Form</H1>
<P>To receive more information on the graduate program in UMKC's new School
of Biological Sciences, please fill out the form below, then press the
&quot;Submit&quot; button.</P>
<P>Inquires from within the United States will receive a complete Graduate
School application packet, if full name, address, zip-code and phone number
are provided. Please note that the response to inquires from outside the
United States <I>may</I> be limited to pre-application information. Inquiries received too late
for admission will generally receive application or pre-application information
valid for the next cycle of graduate student admission.</P>
<P>Name: <INPUT NAME="realname" TYPE=TEXT SIZE=35><BR>
Email: <INPUT NAME="email" TYPE=TEXT SIZE=30>Phone: <INPUT NAME="phone" TYPE=TEXT SIZE=18><BR>
Address: <BR>
<TEXTAREA NAME="address" ROWS=3 COLS=55></TEXTAREA><BR>
<HR>I am interested in the following program: <SELECT NAME="interest" SIZE=1>
<OPTION>Ph.D. in Molecular Biology and Biochemistry <OPTION>Ph.D. in Cell Biology and Biophysics <OPTION>M.Sc. in Cellular and Molecular Biology
</SELECT><BR>
I want to enter graduate school in <SELECT NAME="entermonth" SIZE=1><OPTION>Sep
<OPTION>Jan </SELECT> <SELECT NAME="enteryear" SIZE=1>
<OPTION>1999 <OPTION>2000 <OPTION>2001 <OPTION>2002 </SELECT>
<HR>I will graduate / have graduated in <SELECT NAME="gradmonth" SIZE=1><OPTION>Jan<OPTION>Feb<OPTION>March<OPTION>April
<OPTION>May<OPTION>June<OPTION>July<OPTION>Aug <OPTION>Sept<OPTION>Oct<OPTION>Nov<OPTION>Dec
</SELECT> <SELECT NAME=gradyear SIZE=1> <OPTION>1999<OPTION>2000<OPTION>2001<OPTION>2002<OPTION>1998<OPTION>1997<OPTION>1996
<OPTION>before 1996</SELECT><BR>
from school: <INPUT NAME="gradschool" TYPE=TEXT SIZE=50><BR>
major / degree: <INPUT NAME="gradmajor" TYPE=TEXT SIZE=30>G.P.A.: <INPUT NAME="gpa" TYPE=TEXT SIZE=5> (3.0 minimum)<BR>
GRE general test score: <SELECT NAME="gre" SIZE=5> <OPTION>not yet taken<OPTION>more-than-2100<OPTION>2000-2100<OPTION>1900-2000
<OPTION>1800-1900<OPTION>1700-1800<OPTION>1600-1700<OPTION>1500-1600
<OPTION>less-than-1500 </SELECT>
<BR><FONT SIZE="-1">(verbal + quantitative + analytical) (1500 minimum)</FONT></P>
<P>U.S. Citizen: Yes <INPUT NAME="uscitizen" TYPE=RADIO VALUE=yes CHECKED>No
<INPUT NAME="uscitizen" TYPE=RADIO VALUE=no><BR>
Permanent Resident: Yes <INPUT NAME="permresident" TYPE=RADIO VALUE=yes CHECKED>No
<INPUT NAME="permresident" TYPE=RADIO VALUE=no> <INPUT TYPE=SUBMIT VALUE=Submit>
<INPUT TYPE=RESET VALUE=Reset></FORM>
<HR><I>Last updated by Andrea Melton on November 16, 1998.</I></P>
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