Application for Admission to the Major
Department of Chemistry
This form should be filled out with Adobe Acrobat, printed and submitted with a current
copy of your transcript to the Instructional Office, 131 Baker Laboratory. An unofficial
transcript is acceptable.
Last Name:
First Name:
CU ID:
Class:
M.I.:
Campus Address:
Local Phone:
CU E-mail:
In which courses are you currently enrolled?
Do you intend to do graduate work in Chemistry?
Yes
No
Undecided
Do you intend to go on to medical school?
Yes
No
Undecided
Do you intend to be a double major?
Yes
No
Undecided
If yes, what department?
Advisor’s Name:
Which chemistry major do you intend to complete?
Standard
Alternative
If you plan to complete the Alternative Major, you must submit a completed
“Course Program for the Alternative Major” form with your application.
Who was your Freshman advisor?
Dept:
If you would like to be assigned an advisor who specializes in a particular area of chemistry, please
choose the area from the list below. We will make every effort to honor your request.
Analytical Chemistry
Inorganic Chemistry
Physical Chemistry
Biophysical Chemistry
Organic Chemistry
Theoretical Chemistry
Do Not Write Below This Line
Approved
Disapproved
Comments:_____________________________________________________________________
______________________________________________________________________________
Signature: ______________________________
Date: ______________________________
Course Program for the Alternative Major
Department of Chemistry
This form should only be completed by students interested in the alternative major.
Please fill out this form and submit it to the Chemisty Undergraduate Instructional
Office, 131 Baker Laboratory.
Students in the alternative major need to choose a total of four additional courses in consultation with their
faculty advisor. One of the courses must be a 3- or 4-credit course in chemistry at the 300-level or above.
The other three courses may be in another field of study, such as biochemistry, physics, biology, materials
science, economics, government or education. These courses should not be at the introductory level and must
be approved by a departmental committee. Many students who double major use courses from their second
major to satisfy this requirement.
Last Name:
First Name:
CU ID:
Class:
Course Title
Chem:
M.I.:
Department
Course
Number
CHEM
1.
2.
3.
You must also attach a paragraph explaining the cohesive
plan represented by your three additional courses.
DUS Signature: ___________________________________________ Date: __________________