Rutgers Genetic Counseling Master's Program (GCMP) Open House RSVP Form
Thank you for your interest in our program! Please fill out all required questions so that we can best prepare for your visit. If you have any questions or difficulty in filling out this form, please contact Sherry Pernice at 848-445-9636 or pernice@dls.rutgers.edu. We look forward to meeting you!

*Please note that in order to offer the most space to our prospective students, we must limit each attendee to (1) additional guest.

Date: Saturday, October 14, 2017
Time: 10am-1:30pm (Lunch provided)
Location: Life Sciences Building Auditorium, Rutgers University, 145 Bevier Road, Piscataway, NJ
Parking: Please park in lots 54 or 54A (no permit needed)
Directions: http://gcmp.rutgers.edu/about-us/directions

First Name:
Your answer
Last Name:
Your answer
Phone Number:
Your answer
Email Address:
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Are you a New Jersey resident?
If no, please enter your state of residence:
Your answer
Do you plan to apply to genetic counseling graduate programs?
Do you plan to apply to the Rutgers GCMP?
If yes, what is your planned start year?
Have you received/will you receive your bachelor's degree from Rutgers University?
If no, please enter the name of the institution from which you received/will receive your bachelor's degree:
Your answer
Year of graduation:
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Please enter any advanced degrees received:
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Number attending including yourself (*seating is limited):
For this event, I am most interested in:
How did you hear about this program?
Would you like to be included on the email list?
Comments/Questions?
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