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USC Department of Physiology & Biophysics
Online Departmental Application

Applications for admission are evaluated on a continuous basis. All application materials must be received by the Department before a decision can be made. It is advisable to complete the application process for fall admission as early as possible. Applicants for financial aid are encouraged to apply by February 1st.

Note that admission to the Department requires acceptance by the University of Southern California Graduate Admissions Office.

1. Personal Information

Name (Family Name , First / Given Name):   

       

School or
Mailing Address:

Permanent
Address:

       

Social Security:

Male:

Female:

       

Phone
(Days):

Telephone
(Evenings):

       

Fax:

E-mail:

       

Citizenship:

Date of Birth:


2. Employment

   

Name of Firm:

 

Dates of Employment:

 

Positions Held:

1.  

 

 

2.  

 

 

3.  

 

 


3. Education

   

College or University

 

Dates of Attendance

 

Degree Awarded & Subject Area

1.  

 

 

2.  

 

 

3.  

 

 

 

Honors, awards, prizes:

 
     
Undergraduate GPA (0-4 scale):  
Graduate GPA (0-4 scale):  

 

 

V

 

Q

  A  

Date

GRE scores:

 

 

   

                 
   

Adv.

 

Subject

 

Date

   
   

 

 

   

TOEFL score
(international applicants only):

 

 

Date:


4. Transcripts

Please send one copy of your transcript from each college or university you attended. Send the transcripts to: Graduate Coordinator, Department of Physiology & Biophysics, USC School of Medicine, 1333 San Pablo St., Los Angeles, CA 90033. A second official transcript will be needed as part of the application to the Graduate School.

5. References (Please have letters of reference sent as soon as possible.)


   

Name:

 

Title:

 

Institution:

   1.

 

 

  2.

 

 

  3.

 

 


6. Research Interests

In the space below please describe briefly your scientific research interests and any previous research experience that you have had. Also, please tell us why you are applying specifically to our Department, and indicate which of our faculty are doing work that interests you.



Date Submitted:

 

        

 

 

 
 



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