The form should be completed once the SC requirements have been met or by June 30 (the year before graduation is expected).
* indicates required fields.
First
Last
Email *
June, 2013
June, 2014
My Scholarly Concentration Foundation is: * BENG BEMH BMI CR CH HSPR MedEd MBM
My Scholarly Concentration Application is: * None CBIO CVP IMM GH NBC WH
In order to meet the course requirements, all students must complete 12 units of SC courses.
Please list the coursework you have completed that adds-up to 12 units. Include: Course Number & Title, Unit Total, Quarter/Year completed. *
List any coursework that in progress or will be completed by January 1 of the year you intend to graduate. Include: Course Number & Title, Unit Total, Quarter to be taken.
In order to meet the SC requirements, all students must complete a scholarly project, present their work, and provide a final report. This may (or may not) be a MedScholars funded project.
My SC Project mentor is: *
My SC Project mentor's email is: *
Yes
No
At least one presentation is required. It may be from a conference/symposium, a lab meeting, or other agreed-upon venue (with SC Director's approval).
If you have presented your SC work, please note the Date(s) and Venue(s): *
We hope that our SC students will publish their work. This is not a requirement for SC completion.
Published work (please include: author(s), title, publication info, date): *
Submitted for publication (please include: author(s), title, publication info, date of submission): *
Students are required to submit a final report. This could be: 1) your draft/publication or 2) a three-paragraph statement detailing your SC project concept, project results, and recommendations (eg. mentor selection, coursework related to project, what you would have done differently in hindsight).
Final Completion Report upload *
Please submit any comments you have about your SC performance that you want noted in your MSPE (Dean's Letter).
Comments for MSPE
This is your opportunity to give the program feedback. Think about the program from the orientation start, to coursework, to project selection/completion, to presentation/publication, to how the SC program may influence your future.
SC Program Feedback
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