Return to: College of Pharmacy: Academic Health Center: U of M Home

Department of Pharmaceutics

 

Pre-Evaluation Form

Dear Prospective Applicant:

Since the application fee can be expensive, we offer the following feature to help you determine if your credentials will be competitive before you submit your application.

Enter the requested information below, and the Director of Graduate Studies will respond in a few days with a brief, unofficial response telling you that either (1) you have outstanding credentials and are encouraged to apply, or (2) you have very good credentials but may be better suited for another program.  The DGS will be able to provide only a brief evaluation, so if you seek a complete and official assessment, you must submit a formal application with all the requirements.  We expect to admit approximately 5 students for Fall 2010, therefore the process remains competitive. 

We hope this is of value and would appreciate any comments favorable or otherwise to better meet your needs.

Instructions:  Please fill out the form completely.  (You may use either the mouse or the Tab key to move from field to field.)  When you are done, please click the Submit button, and a screen confirming your response will appear. 

Your Information
Name:
E-mail Address:
Telephone Number:

 

Minority Status (Optional)
(The information requested below is voluntary and will be used for summary reports required by federal, and state laws and regulations and to support institutional affirmative action efforts. You will not be subjected to adverse treatment if you do not provide any of the requested information.)

African-American
American Indian or Alaska Native
Asian or Pacific Islander		Hispanic
White

 

Degree Objective
Please choose one area of interest:

Biopharmaceutics
Pharmacokinetics/Pharmacodynamics
Polymer Drug Delivery		Physical Pharmacy
Other:

 

Academic Information
*Please describe grading system if other than A = 4.0, B = 3.0, etc. (Minimum GPA desired is 3.2 for U.S. applicants, or First Class or equivalent for foreign applicants.)

College or Graduate School:

Name:
Dates Attended:Graduation Date:
Major:Cumulative GPA*:
Degree Received
(if applicable):		  


College or Graduate School (if you attended more than one):

Name:
Dates Attended:Graduation Date:
Major:Cumulative GPA*:
Degree Received
(if applicable):		  


College or Graduate School (if you attended more than two):

Name:
Dates Attended:Graduation Date:
Major:Cumulative GPA*:
Degree Received
(if applicable):		  

 

List the most important honors, awards or scholastic distinctions you received in college:

 

Test Scores
Please provide scores of any standard tests you have taken, if available:

Graduate Record Examination (GRE):

Verbal

Raw Score: Percentile Score:   

Quantitative

Raw Score: Percentile Score:   

Analytical

Raw Score: Percentile Score:  Writing Score: 

 

Test of English as a Foreign Language (TOEFL) (foreign students only):

Quantitative

Raw Score:
Percentile Score:
Computer-based Score:
Internet-based Score:

 

Publications
Please list publications (if any):

 

Work Experience
Please list work experience:

 

Submit Your Information