Bioengineering Industrial Internship Program    University of California, San Diego
9500 Gilman Drive, 0412  u La Jolla, CA 92093-0412  u PHONE: (619)822-1010  u FAX: (619)534-5722
1)Complete the form on your screen  2)Print   3)Fax or mail to our office. Student Application: Biotech Bioengineering (By completing this form you agree to submit a 1-2 page report upon the completion of the first 10 weeks of your internship.)
Applicants Name:
Address:
City:
State:	Zip:
Telephone:
E-mail address
Check the Lower Division courses you have completed:
AMES 10 FORTRAN for Engineers	AMES 153 Process Modeling & Computation in Chem Eng.
BE 100 Intro. to Bioengineering Design	Chem 131 Physical Chemistry
BILD 1 The Cell	Phys 2CL Fluids, Waves, Thermodynamics, and Optics Lab
CHEM. 6A General Chemistry	CHEM. 6B General Chemistry
CHEM 6BL General Chemistry Lab	Chem 140A Organic Chemistry
Chem 140B Organic Chemistry	Math 20A Calculus for Science and Eng.
Math 20B Calculus for Science and Eng.	Math 20E Vector Calculus
Math 20F Linear Algebra	Math 21C Calculus and Analytic Geometry
Math 21D Introduction to Differential Equations	Phys. 2A Physics-Mechanics
Phys. 2B Physics-Electricity and Magnetism	Phys. 2C Physics-Fluids, Waves, Thermo, & Optics
Check the Upper Division Classes you have completed:
AMES 163 Linear Circuits	AMES 170 Experimental Techniques
AMES 103A Introductory Fluid Mechanics	AMES 103B Mass Transfer
BE 122A Biosystems & Control	BE 162 Biotechnology Laboratory
BE 160A Metabolic Engineering Design	BE 160B Biochemical Engineering
BIBC 100 Structural Biochemistry	BICD 100 Genetics
BE 106C Biochemical Engineering	BE 166A Cell and Tissue Engineering
BIBC 102 Metabolic Biochemistry	BIBC 103 Biochemistry Techniques
BIMM 100 Molecular Biology
List any technical electives you have completed:
Quarter(s) you would prefer to do an internship:	Fall    Winter    Spring    Summer
Year you would prefer to do an internship:
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