courses

Thank you for your interest in Biodesign Innovation. Since this class is in high demand, we require an application to be completed, and selection of students is made the first week of class. Please be as succinct as possible in your explanatory paragraph. Thank you.

NOTE: If you are not a Stanford student and interested in taking this course online, please contact Michelle Lucas at the Stanford Center for Professional Development. Her email: malucas@stanford.edu You do not need to complete this form.

* REQUIRED FIELDS

I. Personal Information
* First Name
* Last Name
* Email
II. Education

Status

Undergraduate

Co-terminal

Graduate

* Current (i.e. Stanford) and Prior Education (latest first)

Institution Degree Years Major
Stanford

Other Relevant Educational Experiences

III. Work Experience

Please describe your work experience with specific attention to what may be relevant for this course. (<250 words)

IV. Interest in Medical Device Technology

* Please explain your interest in the field of Medical Device innovation and why you wish to take this course. (<250 words).

V. Other Information

* Total number of units you plan to take in Winter Quarter

* Total number of units you plan to take in Spring Quarter

* I agree to take this course for both quarters