Application for Admission

Department of Biochemistry
Application for Admission to a MAJOR

This form is only for students who have already been admitted to Memorial University

Name:

Student Number:

E-mail Address:
Only applications submitted with an
@mun.ca email address will be processed.

Major: Choose one of:
Biochemistry
Biochemistry (Nutrition)
*Please Note:
1. You cannot apply for admission to Dietetics using this form.
2. Please see our information page on Admission to a Major. We cannot process your application until the 10 courses are complete. If any of your 10 courses are in progress, we will hold your application until semester marks are released. .

*Minor:
*Please Note: Completion of this box is for OUR information purposes only. We will NOT submit a form declaring your minor.

The declaration/changes I am requesting are: Choose one of:
A new major declaration
In addition to my current major
Replacing my current major

My current major is:

Telephone

St. John's:

Home:

Transfer Students Only:

Previous University:

Previous Program:

Please include any additional information here:

Please note: By submitting this form you hereby authorise the Department of Biochemistry to prepare a Declaration/Change of Academic Program form on your behalf and to submit that form to the University Registrar.

Privacy Notice: Memorial University protects your privacy and maintains the confidentiality of your personal information. The information requested on this form is collected under the authority of the Memorial University Act (RSNL 1990 Chapter M-7) and is needed to process your application for admission, to verify your qualifications and determine your eligibility for admission; for administration of student records, scholarships, and awards; for provision of student and alumni services; and for university planning and research. Upon registration at Memorial University, this information will form part of your student record and will be used to document your progress in an academic program. Students’ personal information may be disclosed to academic and administrative units, to federal and provincial agencies as legally required, to student governance associations, and to private health insurance provider(s) as necessary to administer the applicable student health insurance program. For details on the use and disclosure of students’ personal information, please contact the Biochemistry General Office at (709) 737-8530.

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Page updated August 28, 2008 by Craig Skinner


Department of Biochemistry Application for Admission to a MAJOR *This form is only for students who have already been admitted to Memorial University*

Name:
Student Number:

E-mail Address:	Only applications submitted with an @mun.ca email address will be processed.

Major:	Choose one of: Biochemistry Biochemistry (Nutrition) *Please Note: 1. You cannot apply for admission to Dietetics using this form. 2. Please see our information page on Admission to a Major. We cannot process your application until the 10 courses are complete. If any of your 10 courses are in progress, we will hold your application until semester marks are released. .
*Minor:	Please Note: Completion of this box is for OUR* information purposes only. We will NOT submit a form declaring your minor.
The declaration/changes I am requesting are:	Choose one of: A new major declaration In addition to my current major Replacing my current major My current major is:

Telephone
St. John's:
Home:


Transfer Students Only:
Previous University:
Previous Program:

Please include any additional information here:


Please note: By submitting this form you hereby authorise the Department of Biochemistry to prepare a Declaration/Change of Academic Program form on your behalf and to submit that form to the University Registrar. Privacy Notice: Memorial University protects your privacy and maintains the confidentiality of your personal information. The information requested on this form is collected under the authority of the Memorial University Act (RSNL 1990 Chapter M-7) and is needed to process your application for admission, to verify your qualifications and determine your eligibility for admission; for administration of student records, scholarships, and awards; for provision of student and alumni services; and for university planning and research. Upon registration at Memorial University, this information will form part of your student record and will be used to document your progress in an academic program. Students’ personal information may be disclosed to academic and administrative units, to federal and provincial agencies as legally required, to student governance associations, and to private health insurance provider(s) as necessary to administer the applicable student health insurance program. For details on the use and disclosure of students’ personal information, please contact the Biochemistry General Office at (709) 737-8530.