Master of Science and Technology Program Application for Admission Term

							                      Master of Science and Technology Program
                                         Application for Admission

                                Term:        Fall      Spring        Year:_________


Personal Information:

Name:
_____________________________________________________________________
         Last                                  First                                 MI

Social Security Number:                UofU Student ID number (if applicable):              Birthdate:
______-____-______                     ___________________________                          _____/_____/__________

Current Address:
_____________________________________________________________________________________________
         Street                                City               State              Zip           Country

Home Telephone:                        Work Telephone:                        Email Address:
(   ) _____-_________                  (   ) ______-__________                ____________________________________

Permanent Address (if different from above):
_____________________________________________________________________________________________
         Street                                City               State              Zip           Country

Are you a U.S. citizen? (circle one)     yes no

Are you a permanent resident of the U.S.? (circle one) yes no


Examinations:

Though the MST program does not require the GRE, it does strengthen the application.

GRE (Graduate Record Examination) General Test

         Test Date:         _____________________________

         Score:
                   Verbal:             ______________
                   Quantitative:       ______________
                   Logic:              ______________
                   Written:            ______________

TOEFL (Test of English as a Foreign Language) – International Students Only

         Test Date:         ________________________________

         Score:             ____________




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Educational Background:
Please list all colleges or universities that you have attended beginning with most recent.
                                                                           Degree or
Name of College
                                                                           Credential     Date Conferred
 or University          Location     Dates Attended       Major                                                  GPA
                                                                          Conferred or     or Expected
   Attended
                                                                           Expected




Professional Experience (if any):
 Start Date       End Date                                Position                                         Employer




Letters of Recommendation requested from:

1. ____________________________________________________________________
         Name                                                     Title

2. ____________________________________________________________________
         Name                                                     Title

3. ____________________________________________________________________
         Name                                                     Title

Personal Statement:
On a separate sheet of paper, briefly describe any professional and/or personal experiences that you wish the
admissions committee to consider when reviewing your application. In some cases, appropriate and successful work
experience may compensate for deficiencies in past academic performance. Please include a description of your
career goals and how the professional Master of Science and Technology program can help you achieve those goals.
Please limit your response to no more than 2 pages.

As an applicant to the Master of Science and Technology program, I certify to the best of my knowledge that the
above information is correct and complete. I understand that the submitted materials will not be returned.


____________________________________________________________                        ___________________________
Signature                                                                           Date




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Application Checklist

The following items should be sent directly to the University of Utah Admissions Office at:

UNIVERSITY OF UTAH
ADMISSIONS OFFICE
201 S 1460 E, RM 250S
SALT LAKE CITY, UT 84112-9057
Phone: (801) 581-7283
Fax: (801) 585-7864
http://www.saff.utah.edu/admiss

           Official copies of transcripts of all college and university coursework
           University Admissions Application (note: you may submit this application on-line).
           $45 application fee for domestic students; $25 for returning students; $65 for international students


                                                         ◊


The items listed below should be sent directly to the MST Program at:

MST Admissions Committee
302 Park Building
201 S. President’s Circle
Salt Lake City, UT 84112

           Three letters of recommendation from those who can comment on your academic and/or professional
           qualifications. These three letters should be sent directly from your references to the MST Program at
           the MST Admissions Committee address above.

The following items are to be sent by the student to the MST Program at the MST Admissions Committee
address above:

           Photocopies of all transcripts of all college and university coursework
           Copies of GRE scores or other graduate exam scores (recommended)
           MST Graduate Application form




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