DNA Sequencing Exam Registration Form
Register to participate in the DNA Sequencing Exam. Please complete all required fields to secure your exam spot.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Institution or Organization
*
Highest Degree or Education Level
*
Please Select
High School
Bachelor's Degree
Master's Degree
PhD/Doctorate
Other
Preferred Exam Date
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 -
Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred Exam Location or Format
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Please Select
On-site: Main Campus
On-site: Regional Center
Online (Remote Proctored)
Area of Focus / Specialization
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Please Select
Genomics
Bioinformatics
Molecular Biology
Clinical Diagnostics
Other
Do you require any special accommodations?
*
No
Yes
If yes, please specify your accommodation needs
I confirm that I have read and understand the DNA Sequencing Exam registration policies.
*
Yes, I confirm
Submit Registration
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