Your Contact Information
Indicates a required input.

1. First Name
2. Last Name
3. Email
4. Phone(e.g. xxx-xxx-xxxx)

Educational History

1. Current College/University
2. Current GPA
3. Current Degree Program(e.g., Ph.D., M.D., J.D., M.S., M.A., M.Ed.)
4. Current Department
5. Are you a University of Utah Student?

   Yes No
6. Please enter your uNID
7. Previous College/University
8. GPA
9. Previous Degree Program(e.g., Ph.D., M.D., J.D., M.S., M.A., M.Ed.)
10. Previous Department
11. Unofficial Transcript
    Files must be less than 2MB and have one of the following file extensions: doc,docx,rtf,txt,pdf.