Personal Information First Name (required) Last Name (required) Preferred Name (required) Preferred Pronouns (optional) Email (required) Cell Phone (required) Mailing Address Street Address (required) City (required) State (required) Zip code (required) Please indicate if you are local to the Boston/Cambridge area or will be traveling to the Biology Open House Interviews: Please Choose: —Please choose an option—LocalTraveling Preferred Dates The Biology Open House interview dates are Saturday through Monday, February 8 - 10 and February 22 - 24. Please rank the dates in order of preference. We will let you know which Open House you will be assigned to. First choice: —Please choose an option—February 8 - 10February 22 - 24 Second choice: —Please choose an option—February 8 - 10February 22 - 24 Notes: Alternate Date We encourage you to visit on the scheduled open house dates in order to learn the most about the Biology program. However, if you are unable to visit on the scheduled dates, please let us know more about your circumstances, and we will try to make other arrangements for your visit. Alternate date preferred Explanation of Circumstances: Faculty Interviews Please list eight to ten (or more) faculty members that you would like to meet, in order of priority. We will try to accommodate as many of your preferences as possible. Learn more about our faculty. Areas of Research Please select at least one area of research that interests you. Learn more about our Areas of Research. - Select-Biochemistry, Biophysics, and Structural BiologyCancer BiologyCell BiologyComputational BiologyGeneticsHuman DiseaseImmunologyMicrobiologyNeurobiologyStem Cell and Developmental Biology - None -Biochemistry, Biophysics, and Structural BiologyCancer BiologyCell BiologyComputational BiologyGeneticsHuman DiseaseImmunologyMicrobiologyNeurobiologyStem Cell and Developmental Biology - None -Biochemistry, Biophysics, and Structural BiologyCancer BiologyCell BiologyComputational BiologyGeneticsHuman DiseaseImmunologyMicrobiologyNeurobiologyStem Cell and Developmental Biology - None -Biochemistry, Biophysics, and Structural BiologyCancer BiologyCell BiologyComputational BiologyGeneticsHuman DiseaseImmunologyMicrobiologyNeurobiologyStem Cell and Developmental Biology - None -Biochemistry, Biophysics, and Structural BiologyCancer BiologyCell BiologyComputational BiologyGeneticsHuman DiseaseImmunologyMicrobiologyNeurobiologyStem Cell and Developmental Biology - None -Biochemistry, Biophysics, and Structural BiologyCancer BiologyCell BiologyComputational BiologyGeneticsHuman DiseaseImmunologyMicrobiologyNeurobiologyStem Cell and Developmental Biology - None -Biochemistry, Biophysics, and Structural BiologyCancer BiologyCell BiologyComputational BiologyGeneticsHuman DiseaseImmunologyMicrobiologyNeurobiologyStem Cell and Developmental Biology - None -Biochemistry, Biophysics, and Structural BiologyCancer BiologyCell BiologyComputational BiologyGeneticsHuman DiseaseImmunologyMicrobiologyNeurobiologyStem Cell and Developmental Biology - None -Biochemistry, Biophysics, and Structural BiologyCancer BiologyCell BiologyComputational BiologyGeneticsHuman DiseaseImmunologyMicrobiologyNeurobiologyStem Cell and Developmental Biology - None -Biochemistry, Biophysics, and Structural BiologyCancer BiologyCell BiologyComputational BiologyGeneticsHuman DiseaseImmunologyMicrobiologyNeurobiologyStem Cell and Developmental Biology Interests and Experiences We would like to connect you with current students with whom you share interests or experiences outside of science. If you wish, please indicate groups with which you identify, or areas of interest to you, below. DisabilityDiversity, equity and inclusion (DEI)First-generation college studentInternationalLGBTQMarried and/or with childrenRacial/ethnic minorityReligious (please specify below)Women in scienceOther (please specify below) Additional Information Hotel Rooms Hotel rooms are shared between two people. I would prefer to share a hotel room with someone who identifies as: Please Choose (optional): —Please choose an option—FemaleMaleNon-binaryNo preference Please indicate if you have any food allergies or special dietary needs and/or if you have any special accommodations requests and we will do our best to meet them. (please click on the checkbox & describe below) Yes Additional Information Your answers to these questions will not affect your application or chance of admission in any way.If you have questions about this form, email openhousebio@mit.edu. We look forward to meeting you soon.
