Talmage Application
Department of Chemistry and Biochemistry
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Talmage Application
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Personal Information
First Name
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M.I.
Last Name
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Email Address
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Phone Number
Citizenship
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U.S. Citizen
Non-U.S. Citizen
Permanent Resident
Gender
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Female
Male
Prefer Not to Answer
Race/Ethnicity
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African American
Asian/Asian American
Hispanic American/Latino(a)
Native American/Native Alaskan
Native Hawaiian/Pacific Islander
White/Caucasian
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What is your BYU NetID? (If you have not created a BYU NetID yet, click
HERE
to do so.)*
Have you started your ecclesiastical endorsement? (If you have not begun your ecclesiastical endorsement yet, click
HERE
to do so.)*
Yes
No
**If you do not create a BYU NetID and complete your ecclesiastical endorsement, we cannot complete your application process.
Mailing Address
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Address Line 2
City
State
Postal Code
Permanent Home Address
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Address Line 2
City
State
Postal Code
Additional Information
Are you a member of The Church of Jesus Christ of Latter-day Saints?
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Yes
No
What are the last 4 digits of your Social Security Number? (This is used for employment verification, and this information will be kept confidential.)
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Are you currently a student at BYU-Idaho?
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Yes
No
Are you currently, or within the past year have you been, an employee of any entity of The Church of Jesus Christ of Latter-day Saints? (i.e. BYU Idaho, Deseret Industries, Beneficial Life)
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No
Please give an estimate of how many hours you have worked within the past year. (We ask this to stay within the Affordable Care Act requirements.)
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Goals and Expectations
Please select from the following that best describes your intended field of study after graduation with a bachelor’s degree. (It is fraudulent to select something you have no desire to pursue.)
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PhD in Chemistry
PhD in Biochemistry
PhD in other physical or life sciences
Medical School
MD/PhD
Dental School
Pharmacy School
Other Professional School
Work in the Chemical Industry
Other
If you selected other, please specify
Describe your long-term academic and career goals (100 words or less)
*
Describe your expectations from the summer Talmage site and how you will use your experiences to reach your long-term goals (100 words or less)
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List any honors, prizes, publications or additional information about yourself that you feel would be helpful in evaluating your application
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Current School Information
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Current College Name
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Current College City
Current College State
Major
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Expected Graduation Date
Current GPA
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GPA in Major
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Agreements
Do you agree to live the BYU honor code?
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Yes
No
Do you anticipate transferring from your current college or university?
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Yes
No
Have you ever been convicted of, plead guilty to, or been found responsible for a crime other than a minor traffic violation (i.e., parking or non-criminal speeding)? You should include in your answer any crime for which you plead no contest or nolo contendere, and any conviction you are currently appealing. However, you need not include any instance in which (i) you were arrested but not charged; (ii) charged but the charges were dropped; (iii) charged but found not guilty by a judge or jury; or (iv) found guilty by a judge or jury but the conviction was overturned on appeal.
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Yes
No
Have you ever been listed on any county, city, state, or federal sex-offender registry?
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Yes
No
Has any college or university determined that you violated a conduct policy or disciplined you (citation, probation, suspension, expulsion, etc.)?
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Yes
No
Which labs would you like to be in?
What is your first choice of lab?
*
Bio-Analytical Chemistry
Computational Chemistry
Environmental Chemistry
Enzyme Design
Gas-Phase Supramolecular Chemistry
Heterogeneous Catalysis
Inorganic Chemistry
Lasers and Spectroscopy
Low Temperature Calorimetry
Materials
Metabolic Regulation
Natural Products
Nuclear Magnetic Resonance (NMR) Experiments
Organic Reaction Discovery
Organometallic Chemistry
Protein and Cell Signaling
Renewable Energy
Surfaces
What is your second choice of lab?
*
Bio-Analytical Chemistry
Computational Chemistry
Environmental Chemistry
Enzyme Design
Gas-Phase Supramolecular Chemistry
Heterogeneous Catalysis
Inorganic Chemistry
Lasers and Spectroscopy
Low Temperature Calorimetry
Materials
Metabolic Regulation
Natural Products
Nuclear Magnetic Resonance (NMR) Experiments
Organic Reaction Discovery
Organometallic Chemistry
Protein and Cell Signaling
Renewable Energy
Surfaces
What is your third choice of lab?
*
Bio-Analytical Chemistry
Computational Chemistry
Environmental Chemistry
Enzyme Design
Gas-Phase Supramolecular Chemistry
Heterogeneous Catalysis
Inorganic Chemistry
Lasers and Spectroscopy
Low Temperature Calorimetry
Materials
Metabolic Regulation
Natural Products
Nuclear Magnetic Resonance (NMR) Experiments
Organic Reaction Discovery
Organometallic Chemistry
Protein and Cell Signaling
Renewable Energy
Surfaces
First Reccomendation
Faculty Title
*
Professor
Doctor
Mr.
Ms.
Name
Department
College
Email Address
*
Second Reccomendation
Faculty Title
*
Professor
Doctor
Mr.
Ms.
Name
Department
College
Email Address
*
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