Certificate of Completion

For students beginning certificate coursework 6 /1/06 or before

Checklist/Request form
Certificates will be awarded to candidates who have completed the four introductory courses,
plus one elective, in Biomedical Quality Systems with a Grade of B or above. All course fees
must be paid. You can use this form as a checklist as you are completing the program. After
you have completed the requirements, return this form to:
Biomedical Quality Systems
Center for Biopharmaceutical and Biodevice Development
5500 Campanile drive
San Diego, CA 92182-4610

Courses required:

Date completed

Grade:

(last day of course)

(for internal
use only)

_____ BQS 601 Introduction to Quality Systems and

Management

____________

______

_____ BQS 602 Quality Impact on Research &

Development

____________

______

_____ BQS 730 Introduction to Good Manufacturing,

Clinical and Laboratory Practices

____________

______

_____ BQS 745 Quality Assurance Documentation

____________

______

Elective completed:
_____ BQS ____ - ______________________________ - ____________

______

I have completed the courses above, which qualifies me for the Certificate of Completion.
Print your name as you want it to
appear on the Certificate:

__________________________________________

Company:

__________________________________________

Mailing address

__________________________________________
__________________________________________
__________________________________________
__________________________________________

Social Security Number

If you want a letter sent to your supervisor notifying them of your accomplishments, please
complete the information below:
Supervisor's name/title
Supervisor's mailing address

__________________________________________
__________________________________________
__________________________________________

Certificate of Completion
For students beginning certificate coursework 8/1/06 or after
Checklist/Request form
Certificates will be awarded to candidates who have completed the four introductory courses in
Biomedical Quality Systems with a Grade of B or above. All course fees must be paid. You can
use this form as a checklist as you are completing the program. After you have completed the
requirements, return this form to:
Biomedical Quality Systems
Center for Biopharmaceutical and Biodevice Development
5500 Campanile drive
San Diego, CA 92182-4610

Courses required:

Date completed

Grade:

(last day of course)

(for internal
use only)

_____ BQS 601 Introduction to Quality Systems and

Management

____________

______

_____ BQS 621 Quality Audits

____________

______

_____ BQS 730 Introduction to Good Manufacturing,

Clinical and Laboratory Practices

____________

______

_____ BQS 745 Quality Assurance Documentation

____________

______

I have completed the courses above, which qualifies me for the Certificate of Completion.
Print your name as you want it to
appear on the Certificate:

__________________________________________

Company:

__________________________________________

Mailing address

__________________________________________
__________________________________________
__________________________________________
__________________________________________

Social Security Number

If you want a letter sent to your supervisor notifying them of your accomplishments, please
complete the information below:
Supervisor's name/title
Supervisor's mailing address

__________________________________________
__________________________________________
__________________________________________