BS Genetics and Biotechnology Exit Form

Last Name

First Name

Grad Month

Grad Year

Academic Advisor

Permanent Address

Permanent City

Permanent State

Permanent Zip

Phone

Non-BYU Email

Parents Name

Parents Address

Parents City

Parents State

Parents Zip

Parents Phone

Describe Extracurriculars

Have you participated in significant extracurricular activities such as Landscape Management academies and workshops? If you have, please give a short description.

Professional Meetings/Publications

Have you participated in national, regional, or state professional meetings or coauthored a publication (poster or journal article)? Please give a short description.

BYU Competitions

Have you represented BYU in any national competitions? If you have, please give a short description.

Certificates/Licenses

Have you obtained any professional certificates or licenses? If so, please list. (Ex: CLP, Utah Pesticide, Applicator License)

GRE (Bio) Score

GRE (Normal) Score

DAT Score

MCAT Score

Cumulative GPA

Helpful Classes

List your three or four most helpful classes & rank from 1 to 5 (1 being very unhelpful, 5 being very helpful)

Other Classes

Which of your classes do you feel were the least helpful?

Curriculum Suggestions

Do you have any suggestions for improvement in the courses or the curriculum?

Professor Interaction

Describe and rank your interaction with professors (1 being very unsatisfactory, 5 being very satisfactory)

Mentoring Experience

Have you participated in a mentoring experience? If you have, please describe the experience, list the professor you worked with, and rank the experience as well from 1 to 5 (1 being a very negative experience, 5 being a very positive experience).

Rate Your Experience

(1=Low; 10=High)

Attending Convocation

Yes

No

Post-Grad Plans

What are your plans after graduation?

New Job

If you have already located employment or been accepted to a graduate program, congratulations! Please list the company/university and your area of specialization.

Payscale

Security Code

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