HBS-BS.091514 Class of 2016 APPLICATION Page |1 for HUMAN BIOLOGY AND SOCIETY, B.S. due by 5:00pm, Friday, October 17, 2014 DIRECTIONS: Only Class of 2016 may apply at this time. You need not be a premajor to apply. NOTE: there may be very little, if any, space available in this major program in Fall 2014. An admissions committee of ISG faculty will review and decide your application and inform you of the result about WEEK 5 of the quarter. All decisions are final. If you previously applied and were denied, you may not re-apply. ISG faculty will obtain and see your entire transcript; you need not supply a copy. Apply for either HBS B.A. or HBS B.S., but not both. Applicants for HBS B.A. may not subsequently switch to HBS B.S., or vice versa. Email your completed application to: RMOUSHEG@socgen.ucla.edu Rich Moushegian, Student Affairs Officer. Confirmation email will be sent to you in reply. MINIMUM REQUIREMENTS Yes No Yes No Yes No Will you have completed SOCIETY AND GENETICS 5 by end of Fall 2014? NOTE: TRANSFER STUDENTS MUST COMPLETE THIS COURSE IN FALL 2014, OR CHECK “NO”. Will you have completed at least 13 of your HBS BS premajor courses by the end of Fall 2014? Have you achieved a combined 2.50 GPA or better for your HBS B.S. premajor courses? (find your premajor GPA on your DARS transcript in the section detailing your premajor courses; ask our Student Affairs Officer for help if you can’t locate it.) NOTE: TRANSFER STUDENTS ARE NOT HELD TO THIS GPA REQUIREMENT AND SHOULD CHECK “YES”. If you answered “NO” to any of the above criteria, you must additionally complete PART 6. All others should NOT complete PART 6. PART 1. PERSONAL INFORMATION Your Name: Email: University ID#: Expected Quarter of Graduation: Your overall GPA: Your premajor GPA: Click and choose from list HBS-BS.091514 Page |2 PART 2. PREMAJOR COURSEWORK Indicate when each premajor course will be done: Currently done Will be done by end of Fall 2014 Will be done Winter 2014 or later Indicate grade. SOCIETY AND GENETICS 5 Click and select here 2 ANTHROPOLOGY 7 Click and select here 3 Social theory course #1* Click and select here 4 Social theory course #2* Click and select here 5 STATISTICS 10 or 13 (or PSYCH 100A or BIOSTAT 100A) Click and select here 6 MATH 3A or 31A Click and select here 7 MATH 3B or 31B Click and select here 8 MATH 3C or 32A Click and select here 9 LIFE SCIENCE 1 Click and select here 10 LIFE SCIENCE 2 Click and select here 11 LIFE SCIENCE 3 Click and select here 12 LIFE SCIENCE 23L Click and select here 13 LIFE SCIENCE 4 Click and select here 14 CHEMISTRY 14A or 20A Click and select here 15 CHEMISTRY 14B or 20B Click and select here 16 CHEMISTRY 14BL or 20L Click and select here 17 CHEMISTRY 14C or 30A Click and select here 18 CHEMISTRY 14CL or 30AL Click and select here 19 CHEMISTRY 14D or 30B Click and select here -- (if 20/30 series) CHEM 30BL Click and select here 20 PHYSICS 6A (or 1A) Click and select here -- (if 1/4 series) PHYSICS 4AL Click and select here 21 PHYSICS 6B (or 1B) Click and select here -- (if 1/4 series) PHYSICS 4BL Click and select here 22 PHYSICS 6C (or 1C) Click and select here 1 Indicate social theory courses taken. * Starting Fall 2014, we no longer distinguish between ‘normative’ and ‘empirical’ social theory categories. Complete any two courses from our combined and expanded list of social theory courses for HBS B.S.: American Indian Studies M10, Anthropology 9, Asian American Studies 20, Gender Studies 10, General Education Clusters M1A through 80CW, Geography 3, History 3C, Molecular, Cell, and Developmental Biology 40, 50, 60, Philosophy 4, 6, 8, 22, Public Policy 10A, Sociology 1, M5. HBS-BS.091514 Page |3 What, if any, upper division courses have you taken (or in progress)? Course # Title 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. If anything in Part 2 needs further explanation, please briefly comment here: PART 3. MAJOR ELECTIVE SPECIALIZATION Check ONE elective concentration. You may change your concentration in future, if you wish, by contacting our Student Affairs Officer. Bioethics and Public Science Policy Evolutionary Biology, Culture and Behavior Historical and Social Studies of Science Medicine and Public Health Population Genetics and History PART 4. SHORT ANSWERS If you are not admitted to this major, what other major will you pursue? Answer: HBS-BS.091514 Page |4 What is your career direction, at this time? Answer: Do you have any experience working with faculty on project-based research at UCLA (e.g., SRP 99 or other)? NOTE: such experience is not required for admission to this major. You can read about undergraduate research opportunities here, http://www.ucla.edu/research/undergraduate-research Answer: ACTIVITIES/AWARDS: Indicate any honors, awards, recognitions, groups/clubs, publications, community service, campus jobs, affiliations with any other academic programs (such as Study Abroad, Honors Program, PEERS, Academic Advancement Program (AAP) or other), athletics, etc. List (up to 15) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Description, if needed HBS-BS.091514 Page |5 PART 5. PERSONAL STATEMENT Please address one or both of the following questions (A and/or B) using a combined total of 300 words or less. (There is no “correct” way to split the difference between A and B. If what you want to say about yourself is best delivered in 300 words responding to B alone, then terrific! Also fine is A=250 and B=50; or A=150 and B=150, etc.) A. Help our faculty know you better and understand why you are drawn to this major. What themes are you interested in exploring further in Human Biology and Society? How did your education, training, or work experience lead you to this major? Response to A (textbox limit=300 words/2000 characters): B. In what ways do you feel that your voice will contribute to and enhance the conversation in the Human Biology and Society major? How does your life experience, including challenges you’ve faced in your life, impact your interest in the intersections of human biology and society? Examples might include extraordinary or defining experiences, or challenges in your family or community that may have placed barriers in your path to college, economic hardships, or disabilities, differences, or discrimination you’ve had to overcome. Response to B (textbox limit=300 words/2000 characters): HBS-BS.091514 Page |6 IF YOU HAVE MET THE MINIMUM REQUIREMENTS LISTED ON PAGE ONE, THEN DO NOT COMPLETE PART 6. PART 6. PETITION FOR EXCEPTION TO MINIMUM REQUIREMENTS Any applicant who has not met the minimum requirements (see page 1) must succinctly explain the exceptional circumstance(s) which have kept him/her from meeting them. Our admissions committee will consider your explanation, and if they find merit, they will then decide your application. Please checkmark all that are true of your situation: You won’t be done SOCIETY AND GENETICS 5 by end of Fall 2014. You won’t be done with at least 13 premajor courses for HBS BS by end of Spring 2014. Your cumulative HBS BS premajor GPA is less than 2.50. (Transfer students: ignore this requirement.) EXPLANATION OF EXCEPTIONAL CIRCUMSTANCE(S) Respond here (textbox limit=150 words/1000 characters):