UBC Graduate Certificate in Clinical Informatics

Once you start this form, you must complete it in one sitting. You will need:

1. Statement of Intent
2. CV/Resume
3. Transcript copies
4. Names and contact for two references (please get their permission and let them know they will be contacted.)

If you read the tab entitled "What you need to complete the application" on the UBC Nursing webpage and gathered your materials, you will be ready to begin this application.

You must list all non-UBC academic history information, including current coursework, incomplete degrees, and coursework taken under a non-degree designation. Failure to disclose your full post-secondary record is a serious matter and may result in disciplinary action.

• Please list every non-UBC post-secondary institution you have attended, starting with the most recent and including any you are currently attending.
• If you have multiple degrees from a single post-secondary institution, list each as a separate entry below.
• For Exchange Programs, please list the name of the university where you studied abroad. Transcripts from the institution you attended while on exchange will be required.
• For Degree Certificates, if the official transcript does not indicate the degree name and the degree conferral date then an official copy of the degree certificate is required.

For International Transcript requirements please see the following for details: International Student Transcripts

We require 2 Academic and/or Professional references from current or former teachers or employers. Please provide the names and contact information for two referees who have agreed to submit a reference for you.

Whenever possible, be sure to use an address associated with the referee’s institution or employer, and not one associated with a free email provider (such as gmail, hotmail, etc.). You can submit both Academic and Professional references although Academic references are preferred. Professional references should come from senior personnel with recognized professional designations (e.g., manager). Please enter the contact information for your referees below. We will email them to set up a process to receive their reference for you.

Please send a request to each referee and ask them to provide a free form letter or use one of the reference forms available from the Faculty of Graduate Studies: Reference Letter Form. If the referee is using a free form letter, please ask them to use institutional letter head for the reference letters.