BASIC INFORMATION

Name: _______________________

E-mail address: __________________@Richmond.Edu Checked ~once every ________

EXPERIENCE

Class level: ____________

Major: ________________ Pre-anything? _______________

Circle classes you have taken: General chemistry Genetics Biochemistry

     (squares if in progress) Organic chemistry Cell Biology Microbiology

Math up to                       

List other courses that might be pertinent: ________________________________

ANTICIPATED ABSENCES

Are there any labs or exams you know you will not be able to attend? ________

If so, when? ____________________

EXPECTATIONS

What idea, if any, do you have of what you'll do after graduation (is there life after UR)?

What do you hope to gain from this course?

I understand that all exams and reports are subject to the Honor Code

(Signature)_____________________________________________