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Short Form Application

Contact
Information

Graduate Program in Molecular and Cellular Pharmacology
Department of Pharmacological Sciences
School of Medicine
Basic Health Sciences T8-140
University at Stony Brook
Stony Brook, NY 11794-8651

Phone: (631) 444 -3050
Fax: (631) 444-9749
Email: grad@pharm.stonybrook.edu

If you would like us to prescreen your application for our Pharmacology training program, then please take time to complete the following short form:

Applying
for Fall of:

Last
Name
First
Name
Address
City
State
Zip
Country
Day
Phone
Evening
Phone
Fax
E-mail
Undergraduate
School
Undergraduate
Major
Undergraduate
GPA
Date
Graduated
MM/DD/YYYY
Post-Baccalaureate
Scientific Experience:
Date
GRE Taken
MM/DD/YYYY
GRE
Verbal Score

% (example 750 93%)
GRE
Quantity Score

%
GRE
Analytical Score

%
Adv
GRE Subject
Adv
GRE Score

%
Date
TOEFL Taken

MM/DD/YYYY
TOEFL
Score
Please tell us about your research interests. We will use this information to help place you in contact with a faculty member who shares your research interests. Feel free to mention the names of any of our faculty whose research is of interest to you: (255 Characters Max)

If your short form application is suitable we will contact you no later than December 15 to ask you to complete the entire application packet.