Biology 284: Peruvian Medical Experience
Supplementary Application Information
NAME: _________________________ CLASS YEAR: _______ EMAIL: _____________
MAJOR(S): _________________________ CONCENTRATION(S): __________________
Please submit concise but informative responses with your Interim application. Thank you.
ACADEMIC BACKGROUND AND INTERESTS
Have you studied any topics or had any personal experiences that would be relevant background for this course?
Do you have other relevant academic interests or anything you want me to know about your academic background?
MOTIVATION FOR TAKING THE COURSE
What do you most want to get out of this program?
What particular aspects of the course are most appealing to you?
Can you provide illustrations of your comfort in working with children?
TRAVEL AND CROSS-CULTURAL EXPERIENCE
Have you traveled before in a foreign country or experienced a different cultural setting? If so, where and in what kind of a program?
Have you ever spent time traveling or living closely together with a group such that you know what it might be like to be with a group in Peru for three weeks?
RELEVANCE TO CAREER OR PERSONAL PLANS
How is this course relevant to your career or long-term personal plans?
PERSONAL CHARACTERISTICS
How particular are you about what you eat?
Do you plan out your days very carefully or are you more spontaneous in your time-management?
Do you like to be surprised or do you work best when you can anticipate what you are going to encounter?
What do you do to relax and re-energize yourself when you feel stress or frustration?
Is there anything else you want me to know about your personal characteristics?
CONCERNS
- Do you have any worries or concerns about the program?
- Do you have any special needs I should know about?
Give the name of one faculty member who knows you well.

