UTA Chemistry Pre-Application
UTA Chemistry Pre-Application
Name Prefix
*
Mr.
Ms.
Mrs.
Name
Name
*
First
Last
Phone (consecutive numbers only)
*
Email
*
Degree Program (I would like to apply for admission to)
*
Ph.D.
B.S. to Ph.D.
M.S. Thesis
M.S. Non-Thesis
Academic Semester (I would like to apply for)
*
Fall 2020
Fall 2021
Fall 2022
Mailing Address
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Canada
Australia
Netherlands
France
Germany
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Afghanistan
Albania
Algeria
Andorra
Antigua and Barbuda
Argentina
Armenia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
Gabon
Gambia
Georgia
Ghana
Greece
Grenada
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Country
Home Country
*
Undergraduate Degree Institution
*
City
Undergraduate Degree Area
*
B.A.
B.S.
B. Tech
B. Ed.
Undergraduate Degree
*
Month Received or Expected
January
February
March
April
May
June
July
August
September
October
November December
Year Received or Expected
*
2014 or prior
2015
2016
2017
2018
2019
2020
Overall GPA (grade point average)
*
3.6 or higher
3.1-3.5
2.6-3.0
2.1-2.5
2.0 or less
1st Upper Class
2nd Class
A Range
B Range
Other
GPA in Science Classes
3.6 or higher
3.1-3.5
2.6-3.0
2.1-2.5
2.0 or less
1st Upper Class
2nd Class
A Range
B Range
Other
Graduate Degree Institution
City
Graduate Degree Area
M.S.
M. Tech
Ph.D.
Graduate Degree
Month Received or Expected
January
February
March
April
May
June
July
August
September
October
November December
Year Received or Expected
2014 or prior
2015
2016
2017
2018
2019
2020
Overall GPA (grade point average)
3.6 or higher
3.1-3.5
2.6-3.0
2.1-2.5
2.0 or less
1st Upper Class
2nd Class
A Range
B Range
Other
GPA in Science Classes
3.6 or higher
3.1-3.5
2.6-3.0
2.1-2.5
2.0 or less
1st Upper Class
2nd Class
A Range
B Range
Other
Additional Degree Institution
City
Additional Degree
Additional Degree Area
Month Received or Expected
January
February
March
April
May
June
July
August
September
October
November December
Year Received or Expected
2014 or prior
2015
2016
2017
2018
2019
2020
Overall GPA (grade point average)
3.6 or higher
3.1-3.5
2.6-3.0
2.1-2.5
2.0 or less
1st Upper Class
2nd Class
A Range
B Range
Other
GPA in Science Classes
3.6 or higher
3.1-3.5
2.6-3.0
2.1-2.5
2.0 or less
1st Upper Class
2nd Class
A Range
B Range
Other
College Courses Taken
College Courses Taken
Calculus Semester 1
Calculus Semester 2
Introductory Physics
General Chemistry Semester 1
General Chemistry Semester 2
Organic Chemistry Semester 1
Organic Chemistry Semester 2
Inorganic Chemistry
Biochemistry
Analytical Chemistry
Physical Chemistry (Quantum, Mechanics, Spectroscopy)
Physical Chemistry (Thermodynamics, Kinetics)
Independent Laborary Research
Other Chemistry courses taken or currently enrolled in
Course 1
Course 2
Course 3
Course 4
Course 5
Course 6
GRE (year taken)
2014 or prior
2015
2016
2017
2018
2019
GRE Scores: Verbal
GRE Scores: Quantitative
TOEFL Scores (if taken)
TOEFL Speaking Score (if taken)
IELTS Scores (if taken)
IELTS Speaking Score (if taken)
Primary Research Area
*
Analytical
Biochemistry
Inorganic
Organic
Physical
Secondary Research Area
Analytical
Biochemistry
Inorganic
Organic
Physical
Topic of Interest (1st choice)
Separation
Enviromental
Computational
Medicinal
Material
Energy
Spectroscopy
Education
Topic of Interest (2nd choice)
Separation
Enviromental
Computational
Medicinal
Material
Energy
Spectroscopy
Education
Honors and Awards
Publications
Comments