BOISE STATE UNIVERSITY
Department of Chemistry & Biochemistry
M.S. Program Admission Application
Prospective students are encouraged to consult the Chemistry Student Handbook for program
requirements. For consideration for departmental teaching assistantships and fellowships, and an initial
review of the candidates eligibility, students are encouraged to fill out the following application and submit
it to the Graduate Program Director, Dept. Chemistry & Biochemistry, Boise State University, 1910
University Drive Boise, ID 83725-1520, Phone: (208) 426-3000, email: chemistry@boisestate.edu.
Include with this application: 1) A cover letter expressing interest in admission to the program, 2) Two
letters of recommendation from science faculty at applicants’ undergraduate institution, 3) Transcripts
from all prior college coursework (unofficial is acceptable), 4) Official GRE scores.
IMPORTANT: Admission to the graduate program in Chemistry & Biochemistry is not official until a
candidate has been accepted into the Graduate College. Application forms and instructions can be found
at http://www.boisestate.edu/gradcoll/index.html.
1. Semester you plan to initially enroll: Fall ________ Spring _________
Boise State Student ID Number, if known: __________________
2. Full Legal Name: ______________________________________________________________________
First
MI
Last
3. Social Security Number: ______________________________
4. Date of Birth: ______________________
5. Permanent Address:
____________________________________________________
Apt / Street Address
____________________________________________________
City
State
Zip
6. Mailing Address: ____________________________________________________
(if same, skipt to 7)
Apt / Street Address
____________________________________________________
City
State
Zip
7. E-mail Address: _____________________________
9. Gender: Female: _________ Male: ________
10. Are you a legal resident of Idaho for the 12 months prior to the start of the semester checked in #1?
Yes:_______ No: ________ If NO, state of legal residence: _______If NO, date continuous residence in Idaho
began:_______________(Please refer to the Idaho Residency Information Page for definitions of legal residency for
tuition purposes. Use your browser's back button to return to the onine application form when done.)
11. Citizenship: U.S.:____________ Non U.S.:_______________
12. Ethnic Origin (check one): ____Native American
____Caucasian
____Asian
____Other
____African American
_____Hispanic
______I do not care to respond
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13. Colleges or Universities (including this University) attended:
Name of Institution
City
Dates Attended
From (MM/YY)
To (MM/YY)
_1.________________________________________________________________________________
_2.________________________________________________________________________________
_3.________________________________________________________________________________
_4.________________________________________________________________________________
_5.________________________________________________________________________________
_6.________________________________________________________________________________
14. College or University Degrees Held or Pending:
Type (BA, BS)
Institution
Major Field
Date
_1.________________________________________________________________________________
_2.________________________________________________________________________________
_3.________________________________________________________________________________
15. GPA:
Cumulative: _________
Cumulative Science:________
Upper Division: __________
Upper Division Science:_________
I certify that the statements in this application are true and I understand that for my initial graduate
application, I need to submit a completed Graduate Application for Admission form, a non-refundable
application fee, and have official transcripts sent directly from each post-secondary institution attended
directly to Graduate Admissions. Applicants do not need to send transcripts from Boise State University.
(Students pursuing General Graduate Study need to only submit an official transcript from the institution
which granted their highest degree.) I understand that any misrepresentation or omission of facts will be
cause for denial of admission or dismissal from the University.
16. Please indicate you have read and understand the above statement by checking the space and
providing a date: Accept _____ Date (MM/DD/YY)___________________
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