Online Application Form

Note: Application to the Neuroscience Graduate Program requires other supporting documents that you will need to send in in addition to submitting this form. You will need to submit GRE scores, academic transcripts, letters of recommendation, and TOEFL scores (if applicable).

NOTE: The application fee is waived for all applicants by the Neuroscience Program (providing all application material is sent directly to the Neuroscience Program Office. Promising applicants are invited to Utah for an interview in early Spring, BEFORE a final decision is made. Travel (at our expense) will cover North American residents only.

International students: Please feel free to use this form. We will notify you if additional information is required.

This application is in two parts:
Part 1 is about your academic history, and
Part 2 is a personal statement.

You might want to browse through the entire application before completing it.

Application - Part 1

  1. Full legal name (First Middle Last):
  2. Email address:
  3. Mailing address:
    4. Street Address:
    City:
    State or Province:
    Country:
    Postal Code:
  4. Permanent address (if different):
    5. Street Address:
    City:
    State or Province:
    Country:
    Postal Code:
  5. Telephone (Home): (Work):
  6. Date of Birth (needed to identify academic records) Mo/Day/Yr:
  7. Names and addresses of three persons who could be contacted for information about your academic qualifications (you will still need to submit three letters of recommendation):
  8. Have you ever attended the University of Utah? Yes No
  9. Undergraduate major(s):
  10. Languages other than English that you know:
  11. Research Interests:
  12. Publications or research completed, if any:
  13. List in chronological order all colleges you have attended, including the University of Utah, regardless of length of attendance.
    14. InstitutionLocationDates of attendance (Mo/Yr-Mo/Yr)Degree, major and date earned/expected

    Failure to list all institutions previously attended or degrees pursued, may result in loss of credit or dimissal from the University of Utah.

  14. Indicate what you have been doing (e.g. employment, school, vacationing) and where you have been for the past three years. Be specific and account for all months.

    15. From (Mo/Yr) To (Mo/Yr)Employer or activityLocation

  15. Additional comments you consider pertinent to this application:

By clicking on the "Apply now!" button below, I certify that all the answers I have given in this application are complete and accurate to the best of my knowledge.

Application - Part 2

  1. Full name (First Middle Last):
  2. Personal Statement: The personal statement should be articulate and give evidence of a strong commitment to research. Mention of specific, well-focused interests is useful, but not essential; overly vague statements may be deterimental. The statement offers the applicant a unique opportunity to demonstrate critical thinking ability. A few pages should suffice. Type or paste in your statement.

By clicking on the "Apply now!" button below, I certify that all the answers I have given in this application are complete and accurate to the best of my knowledge.

Note: Depending on server demand, the size of your application, and the speed of your connection, several minutes may be required to process this information. If you have any problems, contact Tracy Marbletracy.marble@hsc.utah.edu.