Undergraduate Admission Application for the University of Utah and

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Admission DeadlinesFreshmanTerm Apply and complete application by Notification dateSpring 2016 November 1 All applicants will be notified on a rolling admission system.

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

Summer 2016 December 1 January 15February 1 March 1March 15 RollingApplications submitted with all required documentation and a $30 late processing fee will be accepted until April 15.

Fall 2016 November 1 (Honors Priority Application Date)

January 15 (Honors will notify in February)

December 1 (Admissions Priority Date) January 15February 1 March 1April 1 RollingApplications submitted with all required documentation and a $30 late processing fee will be accepted until July 1.

Transfer, Non-Traditional, Second Bachelor, and Returning StudentsNote: all applicants will be notified on a rolling basis, beginning 4-6 months before the start of term.

Term Apply and complete application by Decisions will be mailed beginningSpring 2016 November 1 September

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

Summer 2016 March 15 DecemberApplications submitted with all required documentation and a $30 late processing fee will be accepted until April 1.

Fall 2016 April 1 FebruaryApplications submitted with all required documentation and a $30 late processing fee will be accepted until July 1.

University of Utah Contact Information

Web Address: admissions.utah.eduEmail: [email protected]

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

Domestic Admissions Phone: 801-581-8761 International Admissions Phone: 801-581-3091 Fax: 801-585-7864

Physical Address: 80 Union Building Mailing Address: 201 South 1460 East, Room 250S Salt Lake City, Utah USA 84112-9057

The University of UtahUndergraduate Admission Application for the University of Utah and the Honors CollegeThe 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 Application Checklist✔ Apply 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.

✔ Pay the non-refundable application fee.• $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)

The fee can be paid by one of the following methods:• By phone with a credit card. Call the Office of Admissions at 801-581-7282.• By mail with a check. Please be sure to write your name, Social Security Number or Web ID number on the check.

We do not accept emailed or faxed payments. Do not mail cash.

✔ Request your high school, college and/or university to submit an official transcript(s) to the University of Utah Office of Admissions.

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 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.

✔ 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

Important InformationYour 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 InformationNondiscriminationThe 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 DisabilitiesThe 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 SemesterThe 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 DeadlinesRefer 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.



http://www.oeo.utah.edu

http://disability.utah.edu

http://admissions.utah.edu/deadlines/

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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

Application Semester and Type

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 Bachelor’s Degree - Includes those who have earned a bachelor’s 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.

*4. Select the semester and year you plan to start/enroll

Spring 2016 (January) Summer 2016 (May) Fall 2016 (August)

*Indicates required fields.

Application

*2. Date of birth (mm/dd/yyyy): Preferred first name

First or Given Name Middle NameLast or Family/Surname

Other names under which your academic records may be listed:

3. U.S. Social Security Number 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.

*First or Given Name*Last or Family/Surname

1. Full Legal Name

Middle Name

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6. Intended degree for which you are applying (select one only, see list of majors on page 16 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)

7. Country of Birth *Country of Citizenship

Contact InformationDirectory 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 Registrar’s Office. Ten days are required to process the request.Directory information consists of: student’s 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.

Citizenship Information

If other, please specify

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

Applicant Contact Information9. *Mailing address

Permanent/Home Country address

City CountryState Zipcode

StateCity CountryZipcode

Phone number

10. Phone numbers

Phone number

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.

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Legal Residency InformationThe 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.

Yes

No

13. *Do you claim to be a legal resident of Utah for in-state tuition purposes?

Yes

No

Are you currently living in Utah?

Less than 12 months

12 months to 24 months


3 years or more

If yes, indicate how long you have currently resided in the state of Utah without an absence

Single student housing12. I am interested in more information about on campus housing Family housing

If you are a Utah resident, in which county do you reside?

If yes, what state issued the driver’s license?Yes*Do you have a valid driver’s license? 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

14. Parent InformationMother/Guardian’s state of legal residence

Less than 12 months



3 years or more

Indicate how long your parent/guardian has currently resided in the state of Utah without an absence

Father/Guardian’s state of legal residence

Less than 12 months



3 years or more

Indicate how long your parent/guardian has currently resided in the state of Utah without an absence

Past Activity for 3 Years (used for resident tuition determination purposes only)This section helps us determine where you have been physically located the last three years. Extracurriculars, awards, and other items needed for the admissions process will be asked for in a later section. Indicate what you have been doing (for example: work, military, 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, including any and all school breaks. If additional space is needed, please enter in the Additional Comments section of this application (section 35). Failure to include all information will result in a non-resident classification for tuition purposes.

Description of Activity (e.g. Military service, Religious or Humanitarian service, School, Work, Other)

Country State/Province City Starting Date(mm/dd/yyyy)

Ending Date(mm/dd/yyyy)

http://le.utah.gov/~code/title53B/htm/53b08_010200.htm

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Family InformationAll 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 applicant’s educational environment and circumstances. The information you provide in this section will not put you at a disadvantage in the admission process.

Deceased15. Family member’s name Relationship

Street address


Phone Email

Yes

No

Is this person a University of Utah employee?

Yes

No

Is this person a University of Utah Alumnus(a)?

No High School

Some High School

High School Graduate

Some College/University

Level of Education

Two Year College Graduate

Four Year College/University Graduate

Post Graduate Study

16. Family member’s name Relationship Deceased

Street address


EmailPhone

Yes

No

Is this person a University of Utah employee?

Yes

No

Is this person a University of Utah Alumnus(a)?

No High School

Some High School

High School Graduate

Some College/University

Level of Education

Two Year College Graduate

Four Year College/University Graduate

Post Graduate Study

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University of Utah Alumni InformationNon-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 Date of Birth (mm/dd/yyyy)

Degree Graduation date (mm/dd/yyyy)

What city and state?

Father

Mother

Both

Other

17. With whom do you currently reside?

Yes

No

18. Do you live in a single parent home?

19. Primary language spoken in the home

20. Extraordinary family obligations

Yes

No

Are you required to work to supplement the family income?

Yes

No

Do you serve as a primary caregiver for a family member(s)?

If other, please specify

Optional Biographical InformationThis information may be needed for federal reporting.

Male

Female

21. Gender

22. What is your first language?

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Pacific Islander

White

Regardless of your answer above select one or more of the following racial categories to describe yourself

23. Ethnic origin: choose what best describes you (optional)

YesDo you consider yourself to be Latino/a or Hispanic? No

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Yes

No

Are you currently a member of the Utah National Guard?

Yes24. Have you ever served in the U.S. Military? No

Yes

No

Are you currently an immediate family member of someone who is a member of the Utah National Guard?

If yes, list dates of military service: From (mm/dd/yyyy) To (mm/dd/yyyy) In what branch of the military did you serve?

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?

YesNo

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.

Date issued (mm/dd/yyyy)

If yes:

Permanent resident card number

NOTE: Attach a copy of your permanent/resident alien card.

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

If no, please explain (500 characters maximum)

Yes

No

Have you received your Permanent Resident Card?

On what date did you enter the United States? (mm/dd/yyyy)How long have you lived in the United States?

Years

Months

How long have you continuously resided in Utah? (mm/yyyy)

Where was you residence before coming to Utah?

Country City

How long have you lived in Utah?

Years

Months

http://admissions.utah.edu/apply/residency/

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Academic History

26. High School name Year will/did graduate

CityState Country

Yes

No

Was your diploma awarded on the basis of home schooling?

If you do not plan to graduate from high school, have you taken or plan to take the GED test?

Yes

No

Yes

No

Do you plan to change to an F-1 student visa (if you now have another type of visa)?

Leave, then re-enter the U.S.

Remain in the U.S. (this option may take 6+ months)

If yes, how will you change your visa status?

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:

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

Family Name First Name Date of BirthMiddle Name Country of Birth Country of Citizenship

Relationship to Student

Gender

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

What is your SEVIS Identification Number? What date will you be released from your most recent school (mm/dd/yyyy)?

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

Yes

No

Are you currently on OPT?

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28. Courses Taken or PlannedThis 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.

Unweighted high school cumulative GPA

4.0

Other

Scale

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 Date (mm/yyyy)

SAT test score (Math & Critical Reading Only) Date (mm/yyyy)

Have Taken IB AP Honors Concurrent ESL or is in Progress Enrollment

English taken during 9th grade




English Courses - Course Name

Have Taken IB AP Honors Concurrent or is in Progress Enrollment

First-year Algebra (Algebra I - not pre-Algebra)

Second-year Algebra (Algebra II)

Geometry

Trigonometry

College Algebra

Calculus (not pre-Calculus)

Specify:

Other Math beyond Algebra

Math Courses - Course Name

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.

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General/Physical/Earth Science

Biology

Chemistry

Physics

Science Lab

Other Science class

Specify:

Science Courses - Course Name


U.S. History (American History)

World History/World Civilization

History 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:

Language Courses - Course Name

Current and Future CoursesCollege/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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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

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

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 CollegeThe 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.

Yes

No

31. Are you interested in applying to the Honors College?

Yes

No

Are you interested in pursuing a degree beyond a bachelors degree?

To be considered for acceptance into the Honors College students should have a grade point average of 3.5 or greater.1. Write, 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. This 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!

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Achievements, Awards and Leadership32. List up to five achievements, awards, or honors you have received. Include athletic participation.

Grade level(s)Achievement/Honor/Award

Description (250 characters maximum)









Essay Question (limit your response to 500 words)The year is 2150 and you are one of the settlers of the first colony on a newly discovered planet (which miraculously turns out to have a climate, atmosphere and geography remarkably similar to that of Earth). Everyone has comfortable housing and a 5-year supply of food and water. The other settlers unanimously elect you as their first leader. What will you do next? Also include an interplanetary Tweet to Mission Control explaining why they elected you (140 characters).

In 50 words:What is it that interests you about the Liberal Arts and Sciences education (hint: look this term up) offered by the Honors 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, 2015.

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Community Service and Volunteer Projects33. List up to five community service or volunteer projects that you have been involved with.


To (mm/yyyy)Project From (mm/yyyy)

Project


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


Project To (mm/yyyy)From (mm/yyyy)





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Work Experience34. List up to three jobs you have held recently.

Employer Duties

To (mm/yyyy)From (mm/yyyy) Hours per week

Employer Duties


Employer Duties


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 SectionBy 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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Undergraduate Academic MajorsThe 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

AnthropologyApplied MathematicsArchitectural Studies1

Art1, 2

Art HistoryAsian StudiesAthletic TrainingAtmospheric SciencesBallet1

Biology2

Biomedical Engineering1

Business Administration1

Chemical Engineering1

Chemistry2

Chinese (Languages)Civil and Environmental Engineering1

Classics (Languages)Communication1

Comparative Literature and Cultural StudiesComputer Engineering1

Computer Science1

Earth Science Teaching Composite2

EconomicsElectrical and Computer Engineering1

Elementary Education1

English2

Entrepreneurship1

Environmental and Sustainability StudiesEthnic StudiesExercise and Sport Science2

Film and Media ArtsFinanceFrench (Languages)Gender StudiesGeography2

Geological EngineeringGeoscienceGerman (Languages)Health Promotion and Education 2

Health, Society and PolicyHistory2

Human Development and Family StudiesInformation Systems1

International StudiesJapanese (Languages)LanguagesLatin American StudiesLinguisticsManagement (Business)1

Marketing (Business) 1

Materials Science and Engineering1

Mathematics2

Mechanical Engineering1

Medical Laboratory Science1

Metallurgical EngineeringMiddle East StudiesMining EngineeringModern Dance1

Music1,2

Nursing1

Parks, Recreation and TourismPeace and Conflict StudiesPharmacy1

PhilosophyPhysics2

Political SciencePsychology1

Religious StudiesRussian (Languages)Secondary Ed1 (must choose a teaching major)Social Work1

SociologySpanish (Languages)2

Special Education1

Speech and Hearing Science1

Theatre2

Undecided (not a major)University Studies1

Urban Planning

1 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.

2 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.

Documents

Undergraduate Admission Application for the University of Utah and