UB SPPS Pharmaceutical Sciences Microcredential Interest Form

Email Address

First Name

Middle Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Are you a current UB Student? Note: If you are not actively enrolled at UB at the time of submission, then please select "No" for this answer.

Yes

No

Which microcredential program are you interested in completing?

Pharmacogenomics and Transport

Pharmacometrics Modeling

Pharmacometrics Software Series

Undergraduate Major

Undergraduate GPA

Undergraduate unofficial transcripts

Do you have a graduate/professional degree (ex: MS, PhD, PharmD, MD) or are you currently studying to obtain one?

Yes

No

Do you have more than one graduate/professional degrees or are you currently studying for a second graduate degree?

Yes

No

Graduate/Professional Degree Program

Graduate/Professional GPA

Graduate/Professional unofficial transcripts

Second Graduate/Professional Degree Program

Second Graduate/Professional GPA

Second Graduate/Professional unofficial transcripts

Please describe your interest in pursuing a microcredential.

Do you have previous experience in pharmacometrics?

Do you have previous experience in pharmacogenomics?