A PHD MINOR IN CLINICAL INVESTIGATION...Intent to Complete A PHD MINOR IN CLINICAL INVESTIGATION...

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Intent to Complete A PHD MINOR IN CLINICAL INVESTIGATION Complete and submit to [email protected] with your biosketch or a one-to-two-page resume attached. Last Name First Name Middle Initial _______________________________________ ______________________________________ _______________________________________ Email Address _______________________________________ Phone _______________________________________ UW Student ID _______________________________________ Major _______________________________________ Major Advisor _______________________________________ PROPOSED COURSES TO COMPLETE THE MINOR: * No course credits that count toward the major can count toward the minor. * Thank you for adding clinical and translational science breadth to your major curriculum. Semester/year to be taken Student Signature ___________________________________________ Date _____________ Major Advisor Signature ______________________________________ Date _____________ 4240 Health Sciences Learning Center 750 Highland Avenue Madison, Wisconsin 53705 608-262-3768 UW ICTR Partners School of Medicine and Public Health • School of Nursing • School of Pharmacy • School of Veterinary Medicine • College of Engineering • Marshfield Clinic Course name and number Biostatistics and Medical Informatics 541 (3 cr, Fall) ________________________________________________ Biostatistics and Medical Informatics 542 (3 cr, Spring) _______________________________________________ _______________________________________________ _______________________________________________

Transcript of A PHD MINOR IN CLINICAL INVESTIGATION...Intent to Complete A PHD MINOR IN CLINICAL INVESTIGATION...

Page 1: A PHD MINOR IN CLINICAL INVESTIGATION...Intent to Complete A PHD MINOR IN CLINICAL INVESTIGATION Complete and submit to sally.wedde@wisc.edu with your biosketch or a one-to-two-page

Intent to Complete A PHD MINOR IN CLINICAL INVESTIGATION

Complete and submit to [email protected] with your biosketch or a one-to-two-page resume attached.

Last Name

First Name

Middle Initial

_______________________________________

______________________________________

_______________________________________

Email Address _______________________________________

Phone _______________________________________

UW Student ID _______________________________________

Major _______________________________________

Major Advisor _______________________________________

PROPOSED COURSES TO COMPLETE THE MINOR:

* No course credits that count toward the major can count toward the minor.

* Thank you for adding clinical and translational science breadth to your major curriculum.

Semester/year to be taken

Student Signature ___________________________________________ Date _____________

Major Advisor Signature ______________________________________ Date _____________

4240 Health Sciences Learning Center • 750 Highland Avenue • Madison, Wisconsin 53705 • 608-262-3768

UW ICTR Partners School of Medicine and Public Health • School of Nursing • School of Pharmacy • School of Veterinary Medicine • College of Engineering • Marshfield Clinic

Course name and numberBiostatistics and Medical Informatics 541 (3 cr, Fall) ________________________________________________

Biostatistics and Medical Informatics 542 (3 cr, Spring) _______________________________________________

_______________________________________________

_______________________________________________