Sign-In Questionnaire for BIOM*4500
Literature-Based Research in Biomedical Sciences
This sign-in questionnaire for research project courses must be completed (including the signature of the project
before a course waiver form will be signed. Instructor consent is required for course registration.
To have a waiver signed you must bring this form back to Kim Best.
A detailed course description will be discussed at the formal Orientation Session for registered students. It
will be scheduled the first week of classes each semester.
This section to be filled in by student (please print):
Name : I.D.# :
Major/Area of Specialization : Course : Required or Elective
Do you have the required prerequisite of 14.00 credits? : Yes No
Semester course will be taken: Summer Fall Winter Year: 20 ___
Course options: BIOM*4500 LR
Name : Dept. :
Return this form to: Kim Best - Rm 2633, OVC (firstname.lastname@example.org), and she will fill in and sign a course waiver so you
can register for the course.
click to sign
click to edit