INSTITUTE FOR BIOLOGICAL AND MEDICAL ENGINEERING
ingenieriabiologicaymedica.uc.cl
MASTER OF SCIENCE IN BIOLOGICAL AND MEDICAL ENGINEERING
APPLICATION FORM
General instructions:
Please download this document to complete all academic background. Applicants should apply,
sending this form with the other documents required to postgrado.iibm@uc.cl before Sunday
November 10th, 2019 at 23:59hrs.
Summary of Academic Background
Full name
Age
Nationality
Last academic degree
Undergraduate education
Undergraduate degree grades
Class Rank
N° Total ISI Publications
N° First author ISI Publications
N° Total Academic Conferences
N° research activities
Relevant honours
1. Personal information
Personal data
Full Name
Date of birth
R.U.T. or Passport
Nationality
Contact details
E-mail
Telephone number
Permanent address
Current address
Institute for Biological and Medical Engineering UC
Campus San Joaquín. Vicuña Mackenna 4860. Macul, Santiago.
INSTITUTE FOR BIOLOGICAL AND MEDICAL ENGINEERING
ingenieriabiologicaymedica.uc.cl
2. Academic background information
Undergraduate degree-Bachelor’s Degree
Name of the Bachelor´s degree
Year
Institution
City
Country
Final bachelor´s degree grade
Class rank
Undergraduate degree –Professional Degree
Name of the Professional Degree
Year
Institution
City
Country
Final professional degree grade
Class rank
Other relevant studies
Name of the programme
Year
Institution
City
Country
Degree grades
Class rank
Self-evaluation of academic knowledge
Please evaluate your knowledge related to this areas
None Basic Intermediate Advanced
Biomedical Imaging
Cell and Molecular Biology
Institute for Biological and Medical Engineering UC
Campus San Joaquín. Vicuña Mackenna 4860. Macul, Santiago.
INSTITUTE FOR BIOLOGICAL AND MEDICAL ENGINEERING
ingenieriabiologicaymedica.uc.cl
Tissue Engineering
Quantitative Physiology
and Biomechanics
Mathematics and Statistics
3. Languages
Language Basic Intermediate Upper Advanced
intermediate
English Writing
Reading
Conversation
Other Writing
language:________ Reading
Conversation
English Language Exams
Please name the current English Language Exams that you have taken. Please remember
that the validity of TOEFL and IELTS is two years.
Exam Yes / No Year Score
ALTE 3 /
TOEFL /
IELTS /
FCE /
Other:______ /
4. Honours: scholarships or awards
Name Institution Country Year
Institute for Biological and Medical Engineering UC
Campus San Joaquín. Vicuña Mackenna 4860. Macul, Santiago.
INSTITUTE FOR BIOLOGICAL AND MEDICAL ENGINEERING
ingenieriabiologicaymedica.uc.cl
5. Publications
First author ISI publications
Year Reference Journal Impact
Factor
Other ISI Publications
Year Reference Contribution to Journal
the publication Impact Factor
Non-ISI journals Publications
Year Reference
Institute for Biological and Medical Engineering UC
Campus San Joaquín. Vicuña Mackenna 4860. Macul, Santiago.
INSTITUTE FOR BIOLOGICAL AND MEDICAL ENGINEERING
ingenieriabiologicaymedica.uc.cl
6. National or International Academic Conference participation
National Academic Conferences
Year Reference Poster / Speaker
/
/
/
/
/
International Academic Conferences
Year Reference Country Poster / Speaker
/
/
/
/
/
7. Research activities
Please list the most relevant activities as such as undergraduate or professional research.
Please start from the most recent and finish with the activities you have done during your
undergraduate studies.
From (mm/aa) To Activity description
(mm/aa)
Institute for Biological and Medical Engineering UC
Campus San Joaquín. Vicuña Mackenna 4860. Macul, Santiago.
