Department of Biology

2900 Bedford Ave. • Brooklyn, NY 11210

TEL 718-951-5396 • FAX 718-951-4659
http://www.brooklyn.cuny.edu/pub/departments/biology/

DEPARTMENT OF BIOLOGY
Independent Laboratory Research (BIOL 5010 to 5013)
Pre-requisites for BIOL 5010: BIOL 1001, BIOL 1002, BIOL 5001 and the permission of a sponsoring
faculty member (the “Research Mentor”); at least two 2000, 3000 or 4000-level courses with a grade of
A or B.
Pre-requisites for BIOL 5011: BIOL 5010.
Pre-requisites for BIOL 5012: BIOL 5011.
Pre-requisites for BIOL 5013: BIOL 5012.

INSTRUCTIONS FOR HOW TO REGISTER:

1. Check you have satisfied the above pre-requisites.
2. Find an appropriate Research Mentor in Biology or a relevant department.
3. Complete this form.
4. Get your Research Mentor to sign the form.
5. Submit the form to the Biology Office, addressed to Ms. Badri (jbadri@brooklyn.cuny.edu)
Once submitted, the Chairperson will review the form and grant permission to enroll in the course.
Note that only completed forms will be considered for review.

Student Name: ___________________

CUNY First ID: _______________
Email: _______________________
Phone: _______________________
Semester: Fall ____, Spring ____, Summer ____
Course: BIOL 5010 ___, BIOL 5011 ___, BIOL 5012 ___, BIOL 5013 ___
Descriptive title of research topic:
______________________________________________________________
______________________________________________________________
______________________________________________________________

Research Mentor Name: _______________________________

Signature: _______________________________ Date: _________