Form to Declare Bioengineering Concentration 
Instructions to Student: Students interested in declaring an official Bioengineering Concentration should fill out and submit this form AND the Declare/Update Field of Study form through Path@Penn AFTER all requirements have been met. Courses for which the student has registered but not yet completed are acceptable. Please submit this form at least four weeks before your expected graduation date. If you are applying for multiple concentrations, please fill out separate forms for each concentration.
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First Name: *
Last Name: *
Student ID Number: *
Email: *
BSE or BAS? *
Which Concentration do you wish to declare? *
Please list the minimum FOUR courses you have taken required to declare a Concentration. Please note that at least TWO courses must be from Bioengineering. (ex- BE 4900, BE 5210, BE 5660, CIS 2200)
*
Initial below that you have also submitted the required Declare/Update Field of Study form through Path@Penn: *
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