Name:	Academic Session:	Date:
Student #:	( : E-mail:

Honours Program Option:
r Animal Biology r Applied Plant Biology r Biology & Oceanography r Cell Biology r Chemistry & Biology r Conservation Biology	r Ecology & Environmental Biology r Evolutionary Biology r Genetics r Marine Biology r Plant Biology r Other: __________________________

Completed form must be returned to Biology Program Office (Room 2521) or emailed to tromba@zoology.ubc.ca.