Header Image

Master of Medical Sciences in
Immunology

If you prefer to submit your application using a secure connection please click here.

HMS MMSc-Immunology Application Form - Fall 2017

Personal and Biographical Information

Prefix* Mr.
Ms.
Dr.
First Name* Middle Initial Surname* Suffix
Mailing Address*
City or Town* State or Province* Postal Code* Country
Email* Day Phone* Evening Phone
Gender (optional) Date of Birth        

Citizenship

U.S. Citizen*
If no, provide your country of citizenship and your current immigration status.

 

 

Ethnicity

African-American     Mexican-American     Puerto Rican     Asian     Caucasian 
Other Hispanic  (specify country)
Native Pacific Islander  (specify island)
Native American  (specify tribal affiliation)
Other  (specify)

Native Language*
If not English, proof of proficiency provided by:

Education

Institution #1

School Name* Major* Major GPA / Overall GPA*
Degree* Degree Expected or Received Date*    

Institution #2

School Name Major Major GPA / Overall GPA
Degree Degree Expected or Received Date    

Institution #3

School Name Major Major GPA / Overall GPA
Degree Degree Expected or Received Date    

Please list any additional institutions that will send your undergraduate and/or graduate transcripts to us:

Relevant Coursework:

 


Test Scores

Please self-report your test results below. Official test scores must be sent directly from the testing center.
The MMSc in Immunology program's institution number for GRE is 3812.

GRE

Date Registration Number    
Verbal Score / Percentile Quantitative Score / Percentile Analytical Writing Score / Percentile

MCAT
The MCAT scores should be printed from the THx Report System and mailed to the Harvard MMSc Immunology Program, 200 Longwood Avenue, Room 100D, Boston, MA 02115.

Date Test Scores Percentile

TOEFL IBT

To have your official TOEFL scores sent directly to the program, use code 6284.

Date Registration Number Total Score

Recommendation Letter #1

Please list the name and contact information for the persons who will be providing the recommendation letters.

Name* Title* Institution*
Phone* Email*
Relationship to Applicant

Recommendation Letter #2

Name* Title* Institution*
Phone* Email*
Relationship to Applicant

Recommendation Letter #3

Name* Title* Institution*
Phone* Email*
Relationship to Applicant

CV and Personal Statement - Please copy your CV and personal statement below. Please also email them as pdf attachments to MMSc_Imm@hms.harvard.edu.

CV (copy and paste in the space below)

Personal Statement (copy and paste in the space below)


Additional Information

If applicable, list Harvard faculty consulted regarding admission:

Other universities to which you are applying (please specify department or program):

How did you hear about the MMSc in Immunology Program:


At any educational institution, have you ever been found responsible for academic misconduct or are any charges pending? 

* Yes
No
If yes, please explain*

At any educational institution, have you ever been found responsible for behavioral misconduct that resulted in anything more than a verbal reprimand or are any charges pending?

* Yes
No
If yes, please explain*

In a professional setting, have you been subject to disciplinary sanctions, or are charges pending?

* Yes
No
If yes, please explain*

Have you ever been convicted of, or pled guilty or no contest to, any felony or misdemeanor, other than:

  • an arrest or other detention that did not result in a conviction, or in which a conviction was vacated;
  • a first conviction for any of the following misdemeanors: drunkenness, simple assault, speeding, minor traffic violations, affray or disturbance of the peace; or
  • any misdemeanor conviction that occurred more than five years before your application for admission, unless you were also sentenced to imprisonment, or were convicted of any additional offense within the five year period.

Note that you are not required to answer “yes” to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential.

* Yes
No
If yes, please explain*

Application Checklist: A complete application will consist of the following documents:

  1. Letter of intent (no more than three pages in length, describing your interest in the program and qualifications)
  2. Curriculum Vitae
  3. Three letters of recommendation (sent directly from recommenders via email to MMSc_Imm@hms.harvard.edu )
  4. Official transcript(s)
  5. GRE or MCAT scores (for applicants who do not have a doctoral degree)
  6. TOEFL score (for applicants for whom English was not the medium of instruction for their bachelor's degree)

Signature

By typing your name below you certify that the information in this application and associated materials is current, complete, and accurate to the best of your knowledge

Full Name*   Date*