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. For further details on this event, please visit: https://gcmp.rutgers.edu/news-events/open-house. 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 12, 2019
Time: 10am-2pm (Lunch provided)
Location: Life Sciences Building Auditorium, Rutgers University, 145 Bevier Road, Piscataway, NJ
Parking: Link for parking registration will be emailed to you a week before the event
Directions: http://gcmp.rutgers.edu/about-us/directions
RSVP by: September 30, 2019
More Info: https://gcmp.rutgers.edu/news-events/open-house
First Name: *
Your answer
Last Name: *
Your answer
Phone Number: *
Your answer
Email Address: *
Your answer
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: *
Your answer
Please enter any advanced degrees received:
Your answer
Number attending including yourself (*seating is limited): *
For this event, I am most interested in: *
For this event, I am interested in signing up for a 15 min. consultation with a faculty member to review my application (Sign-up sheet will be provided on the day of the event. Consultations will take place during lunch): *
How did you hear about this program? *
Would you like to be included on the email list? *
Comments/Questions?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service