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BIOTECHNOLOGIST CERTIFICATION PROGRAM

Please complete all fields as indicated and submit online. The deadline for submission of applications is the end of the third week of classes.

Applications will be screened and interviews conducted during the fourth week of classes. The training program will begin during the 5th week of the semester.

*Note: This class will start in the 5th week of each semester*

In completing and submitting this form, you are agreeing to the following:
1. I am aware that participation in this program will require a minimum of 3 consecutive hours
per week in group training activities.
2. I will be expected to work independently for an additional 2 hours per week (on average).
3. My academic transcript may be reviewed by Biotechnology Center faculty and staff during the selection process.

Name:
WKU ID Number:
EMail Address:
Local Phone Number:

Number of credits completed:
Current GPA:
Number of credits currently enrolled:

Have you applied to the program before ? If so, which semester ?
List all biology and chemistry courses completed or in progress. Include the semester taken and instructor for each course.

Please briefly answer the following questions.

How would you define science ?

Why do you want to do scientific research ?

Identify and discuss a biology-related issue that is currently receiving public attention or in which
you are specifically interested.

If selected, what will you contribute to the Biotechnology Certification Program ?

Please indicate your availability on Friday (1:00-5:00 pm) afternoons. You will need a 3 hour block of time for group training activities. Are there any other relevant facts/materials you wish the committee to take into account when considering your application ?"

Submit