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The University of Utah

Undergraduate Admission Application for the University of Utah and the Honors College
The University of Utah Office of Admissions 201 S 1460 E RM 250 S Salt Lake City UT 84112 801-581-8761 801-585-7864 fax

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Admission Deadlines
Freshman
Term Spring 2014 Summer 2014 Apply and complete application by November 1 December 1 February 1 March 15 Fall 2014 November 1 (Honors Priority Application Date) December 1 (Admissions Priority Date) February 1 April 1 Notification date All applicants will be notified on a rolling admission system. January 15 March 1 Rolling January 15 (Honors will notify in February) January 15 March 1 Rolling

Applications submitted with all required documentation and a $30 late processing fee will be accepted until November 15.

Applications submitted with all required documentation and a $30 late processing fee will be accepted until April 15.

Applications submitted with all required documentation and a $30 late processing fee will be accepted until July 1.

Transfer, Non-Traditional, Second Bachelor, and Returning Students


Term Spring 2014 Summer 2014 Fall 2014 Apply and complete application by November 1 March 15 April 1

Note: all applicants will be notified on a rolling basis, beginning 4-6 months before the start of term. Decisions will be mailed beginning September December February

Applications submitted with all required documentation and a $30 late processing fee will be accepted until November 15. Applications submitted with all required documentation and a $30 late processing fee will be accepted until April 1. Applications submitted with all required documentation and a $30 late processing fee will be accepted until July 1.

University of Utah Contact Information


Domestic Admissions Phone: 801-581-8761 International Admissions Phone: 801-581-3091 Fax: 801-585-7864 Web Address: admissions.utah.edu Email: admissions@utah.edu Physical Address: 80 Union Building Mailing Address: 201 South 1460 East, Room 250S Salt Lake City, Utah USA 84112-9057

For all information regarding admission to the University of Utah, visit admissions.utah.edu

Admission Application Checklist


A  pply online at admissions.utah.edu or fill out the PDF version of the undergraduate application. Complete all portions of the
undergraduate admissions application by the semester deadline. Utah. (DO NOT SEND CASH)

 Include a check, money order, or credit card information for the non-refundable application fee(s) payable to the University of
$45.00 Domestic Application Fee $55.00 International Application Fee (applicants on a visa or in need of a visa) $30.00 Late Handling Fee (required if applying after the regular semester deadline) Admissions.

 Request your high school, college and/or university to submit an official transcript(s) to the University of Utah Office of
 Note: All applicants, with the exception of non-matriculated, must submit official transcripts from all institutions attended. Failure to list all institutions previously attended or degrees pursued may result in denial of admission, loss of credit or dismissal from the University of Utah. Prior enrollment at U.S. colleges and universities is verified by the National Student Clearinghouse.

 Submit official ACT or SAT test scores (domestic undergraduates only. ACT Code-4274; SAT Code-4853). Official test scores  International applicants refer to admissions.utah.edu for additional requirements.  Send all applications and supporting materials to:
 University of Utah Office of Admissions 201 S 1460 E, RM 250 S Salt Lake City, UT 84112-9057

are received directly from the testing agency electronically. Scores coming from a source other than the testing agency, such as your high school, are not considered official.

Important Information

Your application will not be considered complete until you have submitted the following items: the application, non-refundable fee, transcripts from all institutions attended, and ACT/SAT test scores (undergraduate domestic freshman). Freshman applicants interested in merit, leadership, and/or diversity scholarships must submit a completed application by December 1st.

Admission Information
Nondiscrimination
The University of Utah complies with all state and federal nondiscrimination and equal opportunity law. University of Utah admission policies apply to all prospective students without regard to race, color, religion, national origin, sex, age, status as a disabled individual, sexual orientation, gender identity/expression and status as a protected veteran. The following University employee has been designated to handle inquiries regarding the non-discrimination policies and grievance procedures: Manager, Office of Equal Opportunity & Affirmative Action, 201 So. Presidents Circle, Rm 135, Salt Lake City, UT 84112, 801-581-8365 (voice/tty), or online at www.oeo.utah.edu.

Accommodations for Students with Disabilities

The University complies with the Americans With Disabilities Amendments Act of 2008 (ADA) and Section 504 of the Rehabilitation Act of 1973. Requests for accommodation or auxiliary services can be made by contacting: Director, Center for Disability Services, 200 S Central Campus Dr., Rm. 162, Salt Lake City, UT 84112, 801-581-5020 (voice), or online at disability.utah.edu.

Changing Your Admission Semester

The University of Utah will process your application for the semester specified on this form. To apply for a different semester, you must submit a new application, application fee, and updated transcripts.

Admissions Deadlines
Refer to admissions.utah.edu/deadlines for admissions deadlines. All required materials must be received by the completion date for your application to be processed. Note: Fees, deadlines, requirements, and enrollment limits are subject to change without notice. All documents submitted become the property of the University of Utah, and will not be released to students nor forwarded to other institutions or agencies.

Application
1. Full Legal Name *Last or Family/Surname *First or Given Name
*Indicates required fields.

Middle Name

Other names under which your academic records may be listed: Last or Family/Surname First or Given Name Middle Name

*2. Date of birth (mm/dd/yyyy): 3. U.S. Social Security Number

Preferred first name


Privacy Act Notice: The University confidentially maintains your social security number for routine uses such as facilitating document matching, verifying your identity, and expediting your enrollment and financial aid. Disclosure of your social security number is voluntary. Failure to provide your social security number may delay the processing of your application and once admitted could result in delay or loss of federal and state financial aid, tax credits, student loan deferments, veterans and other benefits provided by law.

Application Semester and Type


*4. Select the semester and year you plan to start/enroll Spring 2014 (January) 5. Check all that apply Freshman - High school graduates, or applicants expecting to graduate from high school before entering the university and who have not attended another collegiate institution after high school graduation. Students with only concurrent or dual-credit program work should apply as a freshman. Transfer - An applicant who has not previously attended the University of Utah but has completed and/or attempted at least one transferable course from a regionally accredited institution after graduating from high school (or the equivalent). Transfer applicants with fewer than 30 semester hours must submit an official high school transcript and ACT or SAT test scores. Non-traditional - High school graduates who have been out of high school for seven or more years and have not enrolled at another collegiate institution. Second Bachelors Degree - Includes those who have earned a bachelors degree at the University of Utah or another regionally accredited institution. Non-matriculated - Students who will not formally be admitted to work for a degree. Non-matriculated students are not eligible for financial aid. Summer 2014 (May) Fall 2014 (August)

If Returning Student
What is your uNID? What was the last semester you were enrolled as a degree seeking student at the University of Utah?

I have attended another institution since that time I have not attended another institution since that time

6. Intended degree for which you are applying (select one only, see list of majors on page 17 of this application) Degree B.S. (Bachelor of Science) B.A. (Bachelor of Arts, requires 16 semester hours of language credit) B.F.A. (Bachelor of Fine Arts) Undecided Non-degree seeking (Non-matriculated)

Citizenship Information
7. Country of Birth *Country of Citizenship

8. Non-citizens of the United States, provide the following information Permanent Resident Asylum or Refugee International applicant on or requesting a visa Utah high school graduate requesting Utah House Bill 144, 2002 consideration Foreign national attending a Utah high school requesting House Bill 118 consideration Other If other, please specify

Contact Information
Directory information relating to a student is considered to be public information unless the student requests that it be kept confidential. A form to restrict disclosure of directory information is available at the Registrars Office. Ten days are required to process the request. Directory information consists of: students name, address, telephone number, email address, student ID number, class standing, major field of study, participation in officially recognized activities or sports, weight and height of members of athletic teams, dates of attendance, degrees and awards received, most recent previous educational agency or institution attended, enrollment status, and other similar information.

Applicant Contact Information


9. *Mailing address City Permanent/Home Country address City 10. Phone numbers Phone number Phone number State Zipcode Country State Zipcode Country

11. *Email address We will use email as our primary means of contacting you throughout the admissions process. Provide us with an email address which you check regularly and notify us immediately should this address change. 12. I am interested in more information about on campus housing Single student housing Family housing

Legal Residency Information


The Office of Admissions follows the state law, Utah Code 53B-8-102, Definition of resident student to determine your initial residency classification. If you fail to complete all of these questions, you will be classified as a nonresident for tuition purposes. Residents of Utah under the age of 25 must provide information about their parent or legal guardian. This information is required to determine residency classification. Omission of all parent/guardian information will result in classification as a nonresident. 13.  *Do you claim to be a legal resident of Utah for in-state tuition purposes? Yes No Are you currently living in Utah? Yes No If yes, indicate how long you have currently resided in the state of Utah without an absence Less than 12 months 12 months to 24 months 24 months to 36 months 3 years or more If you are a Utah resident, in which county do you reside? *Do you have a valid drivers license? If yes, what state issued the drivers license?

Yes

No

An American Indian, not otherwise qualified as a resident, shall be entitled to resident student status if he/she is enrolled on the tribal rolls of a tribe whose reservation or trust lands lie partly or wholly within Utah or whose border is at any point contiguous with the border of Utah. If applicable, indicate the American tribe which you are a registered member of

Past Activity for 3 Years Indicate what you have been doing (for example: work, military, student, stay at home parent, volunteer work) and what city and state you have resided in for the past three years. Be specific and account for all months. (If additional space is needed, please enter in the Comments section of this application.)
Description of Activity City State/Province Country Starting Date Ending Date

14. Parent Information Mother/Guardians state of legal residence Indicate how long your parent/guardian has currently resided in the state of Utah without an absence Less than 12 months 12 months to 24 months 24 months to 36 months 3 years or more

Father/Guardians state of legal residence Indicate how long your parent/guardian has currently resided in the state of Utah without an absence Less than 12 months 12 months to 24 months 24 months to 36 months 3 years or more
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Family Information
All applicants are urged to respond to as many of the questions in this section as possible. Family information provides context for better understanding of an applicants educational environment and circumstances. The information you provide in this section will not put you at a disadvantage in the admission process. 15. Family members name Street address City Phone Email Is this person a University of Utah Alumnus(a)? Yes No State Zipcode Country Relationship Deceased

Is this person a University of Utah employee? Yes No Level of Education No High School Some High School High School Graduate Some College/University 16. Family members name Street address City Phone Email State

Two Year College Graduate Four Year College/University Graduate Post Graduate Study

Relationship

Deceased

Zipcode

Country

Is this person a University of Utah employee? Yes No Level of Education No High School Some High School High School Graduate Some College/University

Is this person a University of Utah Alumnus(a)? Yes No

Two Year College Graduate Four Year College/University Graduate Post Graduate Study

University of Utah Alumni Information


Non-resident undergraduate students only: If you want to be considered for the Alumni Non-Resident U Tradition Award and Heritage Scholarship, complete the following for your parent who graduated from the University of Utah. Parent name Degree Date of Birth (mm/dd/yyyy) Graduation date (mm/dd/yyyy)

17. With whom do you currently reside? Father Mother Both Other
If other, please specify

What city and state?

18. Do you live in a single parent home? Yes No 19. Primary language spoken in the home

20. Extraordinary family obligations Are you required to work to supplement the family income? Yes No Do you serve as a primary caregiver for a family member(s)? Yes No

Optional Biographical Information


This information may be needed for federal reporting. 21. Gender Male Female 22. What is your first language? 23. Ethnic origin: choose what best describes you (optional) Do you consider yourself to be Latino/a or Hispanic? Yes No

Regardless of your answer above select one or more of the following racial categories to describe yourself American Indian or Alaska Native Asian Black or African American
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Native Hawaiian or Pacific Islander White

24. Have you ever served in the U.S. Military? If yes, list dates of military service: Are you currently a member of the Utah National Guard? Yes No

Yes

No To (mm/dd/yyyy) In what branch of the military did you serve?

From (mm/dd/yyyy)

Are you currently an immediate family member of someone who is a member of the Utah National Guard? Yes No

Only Non-Citizens of the U.S. Complete this Section


Have you received your Permanent Resident Card? Yes No If yes: Permanent resident card number NOTE: Attach a copy of your permanent/resident alien card. If no, please explain (500 characters maximum) Date issued (mm/dd/yyyy)

NOTE: Holders of Permanent Resident Cards are not automatically considered residents of the State of Utah for tuition purposes. Please contact the Office of Admissions for further information and residency applications. How long have you lived in the United States?
Years Months

On what date did you enter the United States? (mm/dd/yyyy)

How long have you lived in Utah?


Years Months

How long have you continuously resided in Utah? (months/years)

Where was you residence before coming to Utah? Country City

If you are currently on a visa or are requesting an I-20 Certificate of Eligibility from the University of Utah, complete the following: 25. Will you request the University of Utah to issue the I-20 Certificate of Eligibility? Yes No

In order to issue the I-20 Certificate of Eligibility students must: Be accepted to the University of Utah as a degree-seeking student. Submit proof of financial responsibility. If you currently hold an F-1 Visa, what school issued the I-20? What is your SEVIS Identification Number? What date did you enter the United States (mm/dd/yyyy)? What date will you be released from your most recent school (mm/dd/yyyy)?

Are you currently on OPT? Yes No Do you plan to change to an F-1 student visa (if you now have another type of visa)? Yes No

What is your U.S. International Identification Number (IIN)?

If yes, how will you change your visa status? Leave, then re-enter the U.S. Remain in the U.S. (this option may take 6+ months)

If you plan to bring your spouse and/or children and wish this information to be included on your I-20 Certificate of Eligibility, list them below:
Family Name First Name Middle Name Date of Birth Country of Birth Country of Citizenship Relationship to Student Gender

Students currently holding the J-1 Exchange Visa should send a copy of their DS-2019 to:

University of Utah International Center 200 S Central Campus Drive Room 410 Salt Lake City, Utah 84112-9113

Academic History
26. High School name State Was your diploma awarded on the basis of home schooling? Yes No City Year will/did graduate Country If you do not plan to graduate from high school, have you taken or plan to take the GED test? Yes No

Enter your self-reported high school cumulative grade point average (GPA). It is important to report your GPA accurately, so we suggest using the GPA listed on your transcript. Any discrepancies with your final transcript may result in the University of Utah rescinding your offer of admission. Students who have attended an international high school may enter an average score or leave this field blank. Unweighted high school cumulative GPA Scale 4.0 Other 27.  You are required to have official ACT or SAT test scores sent directly to the University of Utah from the testing agency. Official test scores are received electronically. Scores coming from a source other than the testing agency, such as your high school, are not official.  Note: to meet the priority admission deadline of December 1, your admission application must be complete, including application, application fee, and official ACT or SAT scores. This means that the October test date is the last test of your senior year that will be considered for the Honors at Entrance or Presidential scholarship. If you have taken an exam more than once, indicate the score with the highest composite. ACT Composite test score SAT test score (Math & Critical Reading Only) Date (mm/yyyy) Date (mm/yyyy)

28. Courses Taken or Planned This section must be completed to determine if you have met the core course requirements. The answers you provide will be verified upon receipt of your official final high school transcript. Any discrepancies may result in the University of Utah rescinding your offer of admission. English Courses - Course Name English taken during 9th grade English taken during 10th grade English taken during 11th grade English taken during 12th grade Math Courses - Course Name First-year Algebra (Algebra I - not pre-Algebra) Second-year Algebra (Algebra II) Geometry Trigonometry College Algebra Calculus (not pre-Calculus) Other Math beyond Algebra Specify: Have Taken IB AP Honors or is in Progress Concurrent Enrollment Have Taken IB AP Honors Concurrent or is in Progress Enrollment ESL

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Science Courses - Course Name General/Physical/Earth Science Biology Chemistry Physics Other Science class Specify: Science Lab History Courses - Course Name U.S. History (American History) World History/World Civilization Language Courses - Course Name Spanish 1st Year Spanish 2nd Year French 1st Year French 2nd Year German 1st Year German 2nd Year Other Language 1st Year Specify: Other Language 2nd Year Specify: Current and Future Courses

Have Taken IB AP Honors or is in Progress

Concurrent Enrollment

Have Taken IB AP Honors or is in Progress

Concurrent Enrollment

Have Taken IB AP Honors or is in Progress

Concurrent Enrollment

College/University Students - List below all courses in progress and courses you plan to take before the term for which you are applying. Admission is based upon the courses listed in progress. Changing these courses may affect your admission decision.
Name of High School or College/University Complete Course Title Term/Year

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29.  If you have experienced any extenuating circumstances that may have impacted your academic achievement, provide details below (500 character maximum).

30.  List, if any, in chronological order all the colleges you have taken courses from, including the University of Utah. An official transcript(s) from each college you have taken courses from (except the U of U) must be mailed directly from the institution to the Office of Admissions. Transcript(s) must be received before your application will be reviewed.  Failure to list all institutions previously attended or degrees pursued may result in denial of admission, loss of credit or dismissal from the University of Utah.  *List status at each school using the following codes: G = Graduate, S = In good standing, P = On probation, D = Suspended or dismissed, N = Non-matriculated or not seeking a degree
Name of Institution (Do not abbreviate) City and State or Country From (mm/yy) To (mm/yy) Name of Diploma or Certificate Earned Year of Graduation (or expected date) Status *

Honors College
The Honors College at the University of Utah is a place for highly motivated students to be involved in a community of excellence on campus. Students participate in smaller classes, have great interactions with faculty, are expected to engage in and contribute to the community around them, and graduate with an Honors degree after they have fulfilled Honors requirements. 31. Are you interested in applying to the Honors College? Yes No Are you interested in pursuing a degree beyond a bachelors degree? Yes No

To be considered for acceptance into the Honors College students should have a grade point average of 3.5 or greater. 1. W  rite, edit and proofread your essay in a separate word-processing program before attaching it to this application. We use a holistic application review process, and your writing ability is no less important than your grades and scores. 2. T  his is your opportunity to introduce yourself to us. Let us see who you are and what you are passionate about. Demonstrate what qualities you would contribute to the Honors College. Be creative! Essay Question (limit your response to 500 words) Shakespeare wrote: The fool doth think he is wise, but the wise man knows himself to be a fool. What major lessons have you learned in life and what do you hope to learn in college? To be considered for the Honors College Priority Deadline, students must submit a complete application (including transcripts and test scores, if applicable) to the University by November 1, 2013.
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Achievements, Awards and Leadership


32.  List up to five achievements, awards, or honors you have received. Include athletic participation. Achievement/Honor/Award Description (250 characters maximum) Grade level(s)

Achievement/Honor/Award Description (250 characters maximum)

Grade level(s)

Achievement/Honor/Award Description (250 characters maximum)

Grade level(s)

Achievement/Honor/Award Description (250 characters maximum)

Grade level(s)

Achievement/Honor/Award Description (250 characters maximum)

Grade level(s)

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Community Service and Volunteer Projects


33. List up to five community service or volunteer projects that you have been involved with. Project Description (250 characters maximum) From To

Project Description (250 characters maximum)

From

To

Project Description (250 characters maximum)

From

To

Project Description (250 characters maximum)

From

To

Project Description (250 characters maximum)

From

To

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Work Experience
34. List up to three jobs you have held recently. Employer From (mm/yyyy) To (mm/yyyy) Duties Hours per week

Employer From (mm/yyyy) To (mm/yyyy)

Duties Hours per week

Employer From (mm/yyyy) To (mm/yyyy)

Duties Hours per week

Additional Comments
35.  Provide any additional information that was not covered in the application that you feel should be considered. (250 characters maximum)

All Applicants Must Carefully Read and Complete the Following Section
By submitting your application you certify that to the best of your knowledge, the information submitted on this application is accurate and complete. You understand that if found to be otherwise, it is sufficient cause for refusal, rescission or dismissal. Any person knowingly making a false or misleading statement is guilty of a Class B misdemeanor and is punishable pursuant to Utah Code Annotated Section 76-8.504. In addition, you must notify the Office of Admissions if any information provided in this application changes after submission. You also acknowledge that the University of Utah, at its sole discretion, may verify any information submitted with your application. You also consent to the release of your high school transcript or any other material relevant to an admission decision to the University of Utah. You also understand that if admitted, your admission is contingent upon your final credentials reflecting acdemic achievement similar to the assessment at the time of your admission. If admitted, you agree to observe all the rules and regulations of the University of Utah. You understand you will be responsible for payment of all amounts owed to the University (including, but not limited to tuition, fees, fines, rents, and parking citations). You agree to make payments promptly and that all payments will be applied to charges in the order determined by the University and also agree to pay reasonable collection and/or attorney fees necessary to collect any outstanding balance on your account(s). I understand that by submitting this application I certify that all information provided is accurate and true to the best of my knowledge and I agree to the terms and conditions listed above. Applicant Signature ____________________________________________________ Date (mm/dd/yyyy)

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Credit Card Payment


By filling out this form I give the University of Utah permission to charge my credit card for the admission application fee and (if necessary) the late-handling fee. Student name Cardholder name Expiration month Expiration year Card type MasterCard Visa Discover American Express Student Social Security number Card number

12 11 10 09 08 07 06 05 04 03 02 01

Cardholder Signature __________________________________________________________

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Undergraduate Academic Majors


The academic majors listed below are offered at the undergraduate level. If you have decided on a major, select it from the list below and write it in the blank provided in question 6, page 4. If you have not decided on a major, write undecided in the space provided. All new students are first enrolled in University College until they are admitted to a major. Advisors in the University College will provide guidance to students in completing general education requirements and prerequisite course work for their major. Transfer students who have completed most or all of their general education course work and are ready for admission to the major must contact their program advisor as soon as possible. Undergraduates are expected to be accepted into full academic major status by the end of their sophomore year. Accounting1 Anthropology Applied Mathematics Architectural Studies1 Art1, 2 Art History Asian Studies Athletic Training Atmospheric Sciences Ballet1 Biology2 Biomedical Engineering1 Business Administration Chemical Engineering1 Chemistry
2 1

Entrepreneurship1 Environmental and Sustainability Studies Ethnic Studies Exercise and Sport Science Film and Media Arts Finance French (Languages) Gender Studies Geography
2 2

Metallurgical Engineering Middle East Studies Mining Engineering Modern Dance1 Music1,2 Nursing1 Parks, Recreation and Tourism Peace and Conflict Studies Pharmacy1 Philosophy Physics2 Political Science
2

Geological Engineering Geoscience German (Languages) Health Promotion and Education Health, Society and Policy History
2

Psychology1 Religious Studies Russian (Languages) Secondary Ed1 (must choose a teaching major) Social Work1 Sociology Spanish (Languages)2 Special Education1 Speech and Hearing Science1 Theatre2 Undecided (not a major) University Studies1 Urban Planning

Chinese (Languages) Civil and Environmental Engineering1 Classics (Languages) Communication1 Comparative Literature and Cultural Studies Computer Engineering1 Computer Science1 Earth Science Teaching Composite2 Economics Electrical and Computer Engineering1 Elementary Education1 English
1 2

Human Development and Family Studies Information Systems1 International Studies Japanese (Languages) Languages Latin American Studies Linguistics Management (Business)1 Marketing (Business) 1 Materials Science and Engineering1 Mathematics2 Mechanical Engineering1 Medical Laboratory Science1

This academic major has special admission requirements. Students should become familiar with specific admission requirements  by contacting the academic department during the first semester at the University. Teaching major (or minor) is also offered in this field. If you plan to become a school teacher, check item 6 on the application. Also  contact the College of Education, Department of Teaching and Learning, 1705 E. Campus Center Dr., Rm. 142, Salt Lake City, UT 84112-9252, 801-581-7158.

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