1.	Name	(first) (middle) (family)
2.	Address	(street) (optional) (city) (state) (zip) (country)
3.	Country of Citizenship
4.	E-mail
5.	Telephone	(work) (home) (fax)
6.	Degree Sought:   M.S.Ph.D. (Note: an M.S. is not a prerequisite for a Ph.D.) Desired Starting Date:   (Choose a semester) Fall 2003 Fall 2004   How did you learn about the Bioinformatics and Computational Biology Program at Iowa State University? Please check all that apply. General web search Faculty member at your institution Iowa State faculty member: gradschools.com Friend or family member Iowa State student: sciencemag.org Graduate school fair or recruiter visit Other; please specify: Peterson's Guide or petersons.com Publications about graduate schools
7.	Personal identification information Racial/ethnic information (U.S. citizens only-optional) Visa/Immigration status (Non-U.S. citizens only) Gender Male Female Date of birth (mo/day/yr) Country of birth American Indian/Alaskan Native African American White (non-Hispanic) Asian American/Pacific Islander Hispanic Permanent resident Other
8.	Is English your first language?  No Yes

9. Educational Background

Institution (and country)		Degree		Major		Date
Institution (and country)		Degree		Major		Date
Institution (and country)		Degree		Major		Date

10. Grade Point Averages and Test Scores

B.S./B.A. (GPA)		on a scale of		in Major		Class rank (if available)
M.S. (GPA)		on a scale of		in Major		Class rank (if available)

GRE Scores* (score, percent)	Verbal
	Quantitative
	Analytical
	Total
	Subject		Score (score, percent)
	Date GRE will be taken

TOEFL (non-native English speakers only)
(Note: both GRE and TOEFL scores are required for international applicants. GRE requirement is waived for applicants with prior Ph.D. degree. A prior masters degree is not a requirement for admission to this program.)

11. Transcripts and Test Scores
Please send photocopies of your transcripts, GRE scores, and TOEFL scores (if required). Indicate any courses you currently are taking or expect to take before completion of your degree. Official transcripts and test reports are not required at this time.

12. References
Please ask three individuals familiar with your qualifications to send letters of recommendation directly to

Bioinformatics and Computational Biology 2014 Molecular Biology Building Iowa State University Ames, IA, 50011-3260

Please list your references below.

Name		Address		Phone		E-mail
Name		Address		Phone		E-mail
Name		Address		Phone		E-mail

13. Statement of Professional Goals
In the space below, provide a written statement of your reasons for wanting to undertake graduate study, the specific research areas that interest you and your plans for after completion of your degree.

14. Statement of Previous Research Experience and Publications
In the space below, please describe any research experiences, publications, scholarships, honors, awards or other special accomplishments or circumstances that you would like the admissions committee to consider. You may include a resume or curriculum vitae if desired.

15. Research Interests
If there are individual faculty whose research particularly interests you, please list their names below:

16. Note
All offers of admission and financial support are contingent on formal application and admission to the Iowa State University Graduate College. Based on information provided in this application, qualified candidates will be invited to submit a full application to the Graduate College; this includes the "Graduate College Application, " official transcripts and TOEFL scores (if required). The BCB program will pay the application fee for qualified candidates.

17. Other Study Interests
The Interdepartmental Graduate Programs in the Life Sciences listed below cooperate and coordinate their student recruiting and admission activities. If you would like to be considered by other programs, please rank order (1, 2, 3…) the programs for which you would like to be considered. Indicating an interest in multiple programs will not compromise your application to your priority program.

	Bioinformatics and Computational Biology
	Ecology and Evolutionary Biology
	Genetics
	Immunobiology
	Molecular, Cellular & Developmental Biology
	Neuroscience
	Plant Physiology
	Toxicology
	Water Resources