Form to Declare Bioengineering Concentration
Instructions to Student: Students interested in declaring an official Concentration should fill out and submit this form 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 two weeks before your expected graduation date. If you are applying for multiple concentrations, please fill out separate forms for each concentration.

Please note: Your concentration will not show up on Penn InTouch, but will appear on your official transcript at the time of graduation.
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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 490, BE 521, BE 566, CIS 220) *
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