Microbiology & Immunology Biotechnology Certificate Request Form
Please fill out the following information to request your certificate. Ensure all required fields are completed accurately.
Name
*
First Name
Last Name
UR Email Address
*
example@example.com
UR ID
*
Select your Major/Minor
*
neuroscience
microbiology
non-biology major
Other
Major Advisor Email Address
*
example@example.com
What is your intended graduation Year?
*
Deadline to Evaluate for Graduate (month, day, year)
*
-
Month
-
Day
Year
Date
Biology Courses Requirement (Four Courses)
Intro Biology I (110L/112L)
Intro Biology II (111L/113L)
BIOL 198
Biochemistry (250/252)
Have you completed Intro Biology I (110L/112L)?
*
Yes
No
Have you completed Intro Biology II (111L/113L)?
*
Yes
No
Have you completed BIOL 198?
*
Yes
No
Have you completed Biochemistry (250/252)?
*
Yes
No
Computer Technology Course Requirement (One Course)
*
Yes
No
Indicate your approved equivalent course below
Name of the approving advisor
example@example.com
Email address of the approving advisor
example@example.com
Microbiology Course Requirement (one)
*
Yes
No
Laboratory Courses Requirement (Two Courses) Group A
MBI 221W: Microbiology Lab
BIOL 268: Laboratory in molecular, Cell, and Developmental Biology
Laboratory Courses Requirement (Four Courses) Group B
BCH 308: Biochemistry Laboratory
MBI 221W: Microbiology Laboratory
BIOL 268: Laboratory in molecular, Cell, and Developmental Biology
####395: Independent Research (Four Credits)
Have you completed Group A: MBI 221W, ####395, or BIOL 268?
*
Yes
No
Have you completed Group B: BCH 308, MBI 221W, BIOL 268 or ####395?
*
Yes
No
**Only classes with grades are acceptable. Courses with S/F grades CANNOT be applied.
Submit Request
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