(PE3) Application to enroll in CHEM 4000 or BCHM 4000

(PE3) Application to enroll in CHEM 4000 or BCHM 4000

Use this form to request permission to enroll in CHEM 4000.
File this application early in the term prior to your intended start in the course.
This form will be sent to the Undergraduate Assistant, who will verify your details and forward it to the Course Director for consideration.
Your Name Your Name First Last
Your Student Number
Must be 9 digits. Currently Entered: 0 digits.
Your Email Address (please, no Hotmail or live.com addresses)
Your Degree

Your Degree Honours Major Chemistry (CHEM 4000 4.0 or 8.0) Specialized Honours Chemistry (CHEM 4000 8.0 only) Specialized Honours Chemistry -- Pharmaceutical & Biological stream (CHEM 4000 8.0 only) Honours Major Biochemistry (BCHM 4000) Specialized Honours Biochemistry (BCHM 4000) Other Other
Course Requested

Course Requested CHEM 4000 4.0 CHEM 4000 8.0 BCHM 4000 8.0
Intended Term (CHEM 4000 4.0)

Intended Term (CHEM 4000 4.0) F W SU
Intended Term (CHEM 4000 8.0)

Intended Term (CHEM 4000 8.0) FW SU
Intended Term (BCHM 4000)

Intended Term (BCHM 4000) FW WS SU SF
Calendar Year of Intended Term
Must be 4 digits. Currently Entered: 0 digits.
Expected Last Term of Studies (before graduation)

Expected Last Term of Studies (before graduation) Fall Winter Summer
Calendar Year of Last Term of Studies
Must be 4 digits. Currently Entered: 0 digits.
Total credits completed by the intended start of the course
(include transfer credits)
Preferred Research Areas
First Choice (Chemistry):
Second Choice (Chemistry):
Third Choice (Chemistry):
First Choice (Biochemistry):
Second Choice (Biochemistry):
Third Choice (Biochemistry):
Other area(s):
Comments (optional)
You can expect a copy of this submission sent to your email address. If you do not get a copy, please contact chemupd@yorku.ca.