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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Student UCID Number

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* 5. Have you completed the alumni scholars application?

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* 6. Have you used your free course? (Only applies to students admitted to the MScBMI program prior to 2020.)

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* 7. Are you requesting to use your free course during this registration? (Only applies to students admitted to the MScBMI program prior to 2020.)

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* 10. What course(s) are you requesting for registration?

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* 11. Have you completed the necessary prerequisites for the requested course (if applicable)?

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* 12. Is there any other information you would like to provide?

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