CIS Program Application

Please select the specific program you are interested in and enter your information below.

You must be a current student to apply. 

Once you submit the form, you will be redirected to a confirmation screen. If you are not redirected or experience any other issues submitting your application, please try submitting the form using a different web browser (eg. use Firefox or Google Chrome if you are trying to submit the form in Internet Explorer), and please notify the webmaster.

What is your first name?
What is your last name?
Please enter your 10 digit University/Student ID Number 000#######
What is your current major?
Please enter your current degree program and academic school (eg. "Bioinformatics, School of Informatics")
What is your email address?
What is your phone number?