Prospective Student Informational Meeting Request Form

U of R Biology Department Undergraduate Program

Informational Meeting Request Form
Prospective Student Name*

First NameLast Name
Name of Contact (if different from prospective student)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Email*
example@example.com
Phone Number
Please enter a valid phone number.
Phone type*

Mobile w/ textingMobileLandline (still exist)NA (manual add)
Email
Which semester do you intend to start?
Major of interest (check all that apply)

UndecidedBa BiologyBs BiochemistryBs Cell and Developmental BiologyBs Computational BiologyBs Ecology and Evolutionary BiologyBs General Track: ResearchBs Molecular GeneticsBs MicrobiologyBs NeuroscienceGeneral Biology
Other Areas of Interest

ResearchMedical SchoolOther
Special Notes
Meeting Mode*

In PersonVirtuallyEither in-person or virtually (whichever works best)
Availability (use scroll bar at bottom of field box to navigate to right for more options)*
CAMPUS TOURS are coordinated through the Office of Undergraduate Admissions Campus Visit Website.
Have you scheduled a campus tour

YesNoAlready took the tour during my last visitOther
If so, which tour do you plan to go on
Questions? Contact: Biology Department Undergraduate Office
Should be Empty:

U of R Biology Department Undergraduate Program