Request for More Information on Graduate Studies in the Department of Pharmaceutical and Biomedical Sciences at the University of Georgia ( Please Note: This is not an application form ) * = Required Field * First Name: * Last Name: * Address: * City: * State: * Zip Code: * Area Code & Phone [(XXX) XXX-XXXX]: * E-Mail: * I am currently enrolled in:  Not Enrolled  Undergraduate School  Graduate School * Graduation Year (if enrolled): * Currently Enrolled Where (if applicable): * Major/Minor (if applicable): Current GPA (if applicable): * I plan to enter UGA in:  Fall (August)  Spring (January)  Summer * What Year?: * Area of Interest (Up to three): Faculty of Interest (Up to three):   Other Universities / Colleges Attended Name: Deg. & Maj.: GPA: Name: Deg. & Maj.: GPA: Name: Deg. & Maj.: GPA:   GRE Information GRE Taken    Yes  No Verbal:  Quant:  Analytical:    Previous Research Experience Previous Experience:    Yes  No If Yes, please describe: Location: Title/Subject: Duration: Publications (if any):   Location: Title/Subject: Duration: Publications (if any):   Additional Comments: * How did you hear about us?

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