Name:
e-mail:
Phone:
Are you a U.S. citizen or a Permanent Resident? Yes No

Current Mailing Address:

What areas of neuroscience research at Georgetown University are you particularly interested in?
Molecular/Cellular
Systems/Cognition
Imaging
Other:

What colleges and universities have you attended?
What degree(s) did you receive from each institution?

Major(s):

What was (or currently is) your undergraduate GPA?

The Graduate Record Examination is required of all students.

GRE scores: Verbal Quantitative Analytical

If you haven't taken the GRE, when do you plan to do so?

TOEFL score, if applicable (all non-native speakers of English are
required to take this exam, UNLESS you have a college degree
from an American university)

Please briefly describe your background in laboratory research.

What are your career goals?

Please indicate your ability and commitment to undertake graduate biomedical research at this time.

Check here if you have already applied electronically or will apply today.

Check here if you may be interested in conducting part of your thesis research in a laboratory abroad
       and would thus like to be considered for PIRE support (see our link on the Admissions Requirements
       and General Information pages under Graduate Studies).

If you don't apply today, please send us an email when you do so that we can be certain to get your application as soon as it arrives.  Additionally, if you know when your letters of recommendation are sent, please send us an email so that we can be certain to get them as soon as they arrive.  Thanks. Send to the Chairman of the IPN Admissions Committee at  galek@georgetown.edu.

It's your turn: what questions do YOU have about the Ph.D. Program
in the Interdisciplinary Program of Neuroscience at Georgetown University?
1.
2.
3.

After you send this (and please do send it as this information is important and is not asked for in the online application), go back to the Admissions Requirements Page on the IPN website and click on Georgetown Online Application.  

Note:  When you are directed to the website for the Office of Biomedical Graduate Education and are asked to fill out the Supplemental Application, you do not have to duplicate the Personal Statement boxes.  Just leave them blank.

Thank you for taking the time to respond to our questions. We'll be in touch!

If you encounter an error in sending this form, please send an email to:

bwolfe01@georgetown.edu