Application for BIOL 447

BIOL 447 Prosection Application

Deadlines: May 15 for Fall Semester Class; Dec. 15 for Spring Semester. You will be notified about one week after these deadlines. Class will begin about a week before regular classes start. The heart is the first dissection. If you will not be available until classes begin do not request the heart dissection.

[Submit your information by pressing the SUBMIT button at bottom of page. NOTE: SUBMISSION MAY NOT WORK WITH WITH SOME SYSTEMS. IN THAT EVENT PLEASE E-MAIL THE INFO DIRECTLY TO [email protected] (This is different than the e-mail address listed on your syllabus for communications!) PLEASE LIST THE INFORMATION IN THE SAME SEQUENCE AS ON THIS FORM, WITH "ENTER" or "RETURN" AFTER EACH ITEM.]

See [Prosection Web Page] for more info.

FULL NAME AS IT APPEARS ON YOUR PHOTO ID:

SSN (needed for key request):

E-MAIL ADDRESS:

DO YOU CHECK YOUR E-MAIL REGULARLY YesNo

YOUR MAILING ADDRESS

ADDRESS AND PHONE WHERE YOU CAN BE REACHED OVER BREAKS, ETC.

PHONE NUMBERS:

WHAT IS YOUR ANTICIPATED PROGRAM OR FIELD OF STUDY?
NURSING
PHARMACY
PA SCHOOL
PHYSICAL THERAPY
OCCUPATIONAL THERAPY
MEDICAL SCHOOL
OTHER; SPECIFY:

WHAT IS YOUR STATUS IN THE ABOVE PROGRAM?
ALREADY ACCEPTED IN PROGRAM
APPLYING FOR ENROLLMENT IN THE NEAR FUTURE
STILL IN THE PLANNING STAGE

Indicate courses taken, grade, and school if not at UNM:
A&PI;GRADE & LOCATION:
A&PI; LAB; GRADE & LOCATION:
A&PIIGRADE; GRADE & LOCATION:
A&PII; LAB; GRADE & LOCATION:
Other College Biology Courses; SPECIFY:

OTHER RELEVANT COURSES:

NAME AND CONTACT INFORMATION OF REFERENCE:

YOUR ANAOMY LAB TA IS FIRST CHOICE FOR A RECOMMENDATION. IF THIS IS NOT POSSIBLE IT SHOULD BE SOMEONE WHO HAS OBSERVED YOU IN A LABORATORY SITUATION. I AM LOOKING FOR QUALITIES OF RESPONSIBILITY, DPENDABILITY AND TEAMWORK AS WELL AS BASIC SKILLS AND KNOWLEDGE. (Please erase this before entering data)

INDICATE YOUR TOP 3 CHOICES FOR DISSECTIONS:
MUSCLES; SPECIFY AREA:
JOINTS; SPECIFY WHICH:
BLOOD VESSELS;SPECIFY AREA:
NERVES
THE HEART
THE BRAIN
SPINAL CORD
GI TRACT
URINARY/ENDOCRINE
RESPIRATORY
MALE REPRODUCTIVE SYS
FEMALE REPRODUCTIVE SYS
EYE AND EAR

PLEASE INDICATE ANY DEGREES OR SPECIAL TRAINING OR EXPERIENCE YOU HAVE. ALSO INCLUDE COMMENTS, PROBLEMS, EXPECTATIONS, ETC.

You will receive an autoresponse email message confirming your submission. IT IS IMPORTANT YOU SEND YOUR SUBMISSION FROM YOUR INDIVIDUAL EMAIL ACCOUNT TO RECEIVE THIS RESPONSE. If you receive no error message, the information was probably sent. DO NOT SUBMIT MORE THAN ONCE.