Biomedical Exploration Workshop Application

June 11-July 13 2012 -
Application Due April 16, 2012

Contact Information

Just leave it on default for today's date.
*This is your unique ID number used by Nevada colleges and universities.

Citizenship and Legal Residency
(you must answer yes to both questions to be eligible for the program)

  1. Yes
  2. No
  1. Yes
  2. No

Demographic/Background/Educational Questionnaire

  1. Male
  2. Female
  1. Hispanic or Latino
  2. American Indian / Alaska Native
  3. African or African American
  4. Asian or Asian American
  5. Native Hawaiian or other Pacific Islander
  6. White
  1. Yes
  2. No
*unofficial copies.

Letter of Recommendation

One letter of recommendation is required from a past or present college instructor. Print the recommendation form (MS Word file) and give to your chosen instructor. The instructor will return the form directly to the Biological Sciences Department at CSN.

Program Interest Essay

Write a short essay (100-1000 words) describing your educational background and interests. Explain why you would like to participate in the Biomedical Exploration Workshop. Please type your essay and attach it to the application.

  1. I agree
  2. I do not agree
  1. I agree
  2. I do not agree
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If you cannot get this online application to work properly you may download this application form to print out and mail in.