UNIVERSITY OF COLORADO COLORADO SPRINGSDepartment of Chemistry and Biochemistry

Application Form for the Accelerated Bachelor’s/Master’s Program

Application target submission dates: Fall – April 15 | Spring – November 1

Student: Please complete this form, click File, Save As, and include your name in the filename(e.g., “B-MSc_Your_Name”). Email the file to Tish Fleener at tfleener@uccs.edu.

Full Legal Name:       Today’s Date:      Last, First Middle

Mailing Address:       Telephone:      Number and Street or PO Box, City, State, Zip Area code & No.

Student ID:       UCCS Email:       Personal Email:      

List the term you expect to complete all requirements for the BA/BS in chemistry or biochemistry:      

Undergraduate GPA (all colleges) as of today:       Science and math GPA:      

Minimum Required Courses Completed:Course Number Semester GradeCHEM 3201 Organic Chemistry for Majors I      

     

CHEM 3203 Organic Chemistry Lab for Majors I           

CHEM 3211 Organic Chemistry for Majors II           

CHEM 3213 Organic Chemistry Lab for Majors II           

CHEM 4001 Analytical Chemistry           

CHEM 4002 Analytical Chemistry Lab           

For which degree are you applying? BA/MSc Chemistry BA/MSc Biochemistry

BS/MSc Chemistry BS/MSc Biochemistry

Projected area of emphasis:       Projected Research Adviser:      

Projected starting term:      

Requirements Checklist:

Rev 02.25.2016

Minimum course requirements completed? Meets a minimum 3.0 overall cumulative GPA? Meets a minimum 3.2 cumulative math/science GPA? Personal statement of intent attached? Requested two letters of recommendation from chemistry/biochemistry faculty? Completed lower division general education requirements? Completed at least 75 college credit hours? Transfer student? If yes, 5 upper division UCCS chemistry/biochemistry courses completed?

Rev 02.25.2016

I understand that if admitted to this program: The 4-year guarantee for graduation will not be applicable to my enrollment. I am working toward completion of both undergraduate and graduate programs simultaneously and that I must

complete all the degree requirements to receive both degrees at the end of the program. If I withdraw from the program and complete the requirements for the bachelor’s degree as described in the

policies, I may receive a bachelor’s degree. If I then with to pursue a regular master’s degree or a doctoral degree after withdrawing from or completing this program, I must apply and be admitted to the Graduate School. All Graduate School minimum standards apply to eligibility for admission to the Graduate School. Department specific requirements may be waived by the department as approved in the department’s accelerated degree proposals. In the case of early withdrawal from the accelerated program, courses may not later count for two degrees.

Students continue to have undergraduate status until all requirements for the bachelor’s degree have been met or until 130 credit hours have been taken, after which students will be considered graduate students. Graduate status students are assessed graduate tuition rates and are no longer eligible for COF. In addition, graduate students receiving financial aid are considered “independent” and are no longer eligible for aid requiring undergraduate status.

I have read and understand the departmental policies and requirements for this program.

           Typing your full name here constitutes an electronic signature. Date

FOR ADMINISTRATIVE COMMITTEE USE ONLY:

Student meets all requirements for the accelerated program: Yes No

This request is approved denied

Signature of Program Director Date

Signature of Projected Research Adviser Date

Signature of the Department Chair Date

Date Department Office Received:

Rev 02.25.2016