Undergraduate Admission ApplicationDianna Jensen2022-02-04T22:10:14-07:00 Undergraduate Admission ApplicationPlease enable JavaScript in your browser to complete this form.Student InformationName *FirstMiddleLastDOB *Email *Cell Phone *Permanent Mailing Address or P.O. Box *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLast four numbers of your social security number (used as student ID)Have you received a high school diploma or satisfactorily passed the General Educational Development Test?YesNoU.S. Citizen?YesNoBackground InformationTHIS INFORMATION IS USED FOR SCHOLARSHIP AND NONPROFIT REPORTING PURPOSES. It is used to provide voluntary compliance with applicable law and meet federal reporting purposes. The remaining questions are solely statistical in nature and you are not required to answer them. They will not be considered in the admissions process, but do help us better understand our student demographic.GenderMaleFemaleMilitary ServiceActive DutyVeteranNoDo you receive Veteran Benefits?YesNoBranch- Please Select -ArmyNavyAir ForceMarinesCoast GuardNational GuardRace / Origin- Please Select -African AmericanAlaskan NativeAmerican IndianAsianCaucasian (white)CubanPacific IslanderHispanicMexicanPuerto RicanTwo or moreOtherReligion- Please Select -BaptistBuddhistCatholicEvangelical ChristianHinduIslamJewishLDSLutheranMethodistOrthodox ChristianUnaffiliated ChristianOtherAre you a first generation student (neither parent graduated from a four-year college)?YesNoAre you married?YesNoDo you have children?YesNoDo you have any full-time agricultural experience?YesNoDo you have herbal knowledge application experience?YesNoAre you familiar with farm tools or general hand tools?YesNoDo you have any experience with full-time farm animals?YesNoOther College/Universities you have attendedName of InstitutionLocationDates of AttendanceGraduated?YesNoDegrees AttainedTranscripts Click or drag files to this area to upload. You can upload up to 3 files. Accepted File Extensions: .pdfParent/Guardian InformationFather/Guardian's NameFirstLastPhoneAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMother/Guardian's NameFirstLastPhoneAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmergency ContactEmergency Contact NameFirstLastRelationshipPhoneAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeExtracurricular, Personal and Volunteer ActivitiesExtracurricular ActivitiesList your organizations, position, description of the activity, and hours per week of involvement.Talents and AwardsList each, a description, the level, and number of years of involvement.Community Service WorkList the type of work, your role, and hours per week of involvement.EmploymentList the job, your title, description, hours per week, and dates of employment.Letters of RecommendationPlease provide 3 letters of recommendation Click or drag files to this area to upload. You can upload up to 3 files. Accepted File Extensions: .pdf, .docCreative SampleA creative sample is anything that you'd like to share about yourself. For example, we've had people send us copies of their artwork, we've had entries of a trip by blog and vlog, a video was entered explaining a recipe and a video of a student performing a song. Anything you would like to do that tells about you is great. Whatever creative sample you decide on, please share it with us via video, image, or text.File Upload Click or drag a file to this area to upload. Accepted File Extensions: .mpg, .mov, .jpg, .png, .pdf, .docAgreementI certify that, to the best of my knowledge, the information on this application is true and complete. I understand that submitting false information may result in the loss of admittance, dismissal and/or prosecution pursuant to Utah code annotated section 76-8-504.SignatureClear SignatureDateApplication FeeUndergraduate Application FeePrice: $ 50.00Name on Card *FirstLastBilling Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePayment Information *Card NumberMM123456789101112Expiration/YY2324252627282930313233Security CodeTotal$ 0.00Captcha * = Submit
