Please enable Javascript on your browser to take this survey.
Using a screen reader? Click here. This link will activate an optimized version of the page designed specifically for Jaws version 11 and greater.
Biomedical Engineering Student Information Sheet
Please answer all questions completely.
Name:
First Name
Last Name
Preferred Name
10 Digit USC ID Number:
Major
Major
Specialization
What is your class status?
5th year +
Senior
Junior
Sophomore
Freshman
Catalog year:
Unsure
2005
2006
2007
2008
2009
Year of entrance to USC
Fall 2004 or earlier
Spring 2005
Fall 2005
Spring 2006
Fall 2006
Spring 2007
Fall 2007
Spring 2008
Fall 2008
Spring 2009
Fall 2009
Spring 2010
Fall 2010
Expected graduation
Fall 2009
Spring 2010
Fall 2010
Spring 2011
Fall 2011
Spring 2012
Fall 2012
Spring 2013
Fall 2013
Spring 2014
Fall 2014
Spring 2015
Fall 2015
Cumulative USC GPA:
Phone number (cell phone or local):
Local Address:
Street address
Apartment #
City
ZIP
E-mail:
USC E-mail address
Non USC e-mail address (yahoo, gmail, etc.)
Hometown:
Are you...?
Are you...?
Yes
No
Details - please tell me more
Planning a double major?
Pursuing a minor (or planning to)?
Pre-health (i.e., pre-med, pre-dental, pre-pharm)?
A transfer from another university?
A student athlete?
Involved in USC clubs & organizations?
A member of a fraternity or sorority?
The first in your family to attend college?
The recipient of any USC scholarships?
A Merit Research student?
Working somewhere?
Currently conducting research?
Involved with other obligations (i.e., family, religious organizations)?
Please indicate your ethnicity (check all that apply)
Asian
Black/African-American
Caucasian
Latino/Hispanic
Native American
Other
What did you do this summer?
What are you possible post-graduation plans?
Click to write Choice 1
Click to write Choice 2
Click to write Choice 3
Total
What are your current most-likely post-graduation plans?
I plan to work after earning my Bachelor's degree
I plan to go to grad school in BME
I plan to go to grad school in a health field (Medical, Pharma, Dental, Vet, etc.)
I plan to go to grad school in something else
I'm planning something else
Please add any additional details about your post graduation plans:
Have you taken any of the following tests?
Have you taken any of the following tests?
No
Yes
I haven't yet, but plan to.
MCAT
GRE
LSAT
Is there anything you want me to know about you?
If you have already scheduled your advising appointment, please provide the date:
Month
Day
Thank you
for completing this web-form. You do not need to print it.
Survey Powered By
Qualtrics