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Summary: Full name _____________________________________________________________________________
Last (Family) First Middle
HOW CAN WE CONTACT YOU?
E-mail address: _________________________________________________________________________
Mailing address for correspondence: ___________________________________________________________
___________________________________________________________
Telephone number(s) at which you can be reliably reached: ___________________________________________
WHAT ARE YOUR RESEARCH INTERESTS?
Indicate your primary research interest(s):
Genomics and Bioinformatics Evolutionary Biology
Eukaryotic Molecular Genetics Evolutionary Ecology
Developmental Biology Biotechnology
Molecular Evolution Prokaryotic Molecular Genetics
What is the highest degree you wish to earn at the University of Georgia: M.S. Ph.D.
If you are interested in pursuing an M.S. degree, you must list the faculty member(s) with whom you would like to work:
_________________________________________ _________________________________________
If you are interested in the Ph.D. degree, with which faculty member(s) might you like to work:
_________________________________________ _________________________________________
_________________________________________ _________________________________________
Have you been in contact with any Genetics faculty? Yes No
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