UNC-NCSU Joint Graduate Certificate in Medical Devices Application

Name

Student Identification Number

Address

Phone number

E-mail

Degree Pursued

Field of Study

Please provide the following information. You can write your responses in a word processing program and cut and paste them into the response window. Do not use any special characters or formatting. (NOTE: 150 word maximum per answer)

(1) Please provide a 1-2 paragraph narrative on your specific interests in applying for this Graduate Certificate, and how this proposed coursework will advance your career objectives.

(2) Please indicate the key learning objectives that you hope to achieve in your Certificate studies.

(3) Please insert a copy of your CV. In the CV, include your undergraduate GPA, GRE test scores and percentiles, and your TOFEL score if your native language is not English. (NOTE: no word limit for your CV)

Note: Your responses will be emailed to you after submission.