Student Interest Form

The Program
Mission
Financial Aid
Curriculum
Faculty
Admission
Contact

If you are interested in our program at the University of Maryland, Baltimore we would appreciate it if you would fill out the following form and send it back to us. This will help us in identifying which members of our faculty you might be interested in learning more about and to send you the appropriate information.

Answer as many of the questions below as you like and feel free to ask us any questions in return.

Thanks for your interest!

Name

Email
Address
City / State / Zip
Phone
Are you currently enrolled in school? Yes
No
If so, where?
What is your major area of study?
What and when was your last degree?
Are you interested in any particular area of Functional Genomics and Molecular Medicine?
If so, please describe it in a few words.
   

 

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