Name First name Last name uNID * Major * Phone number Email address * Address Street address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP code Expected date of completion/graduation (month/year) Have you taken Introductory Biology? (Anatomy does not count) Yes No When, where, and what grade did you receive? Leave this field blank For questions, please contact Elirissa Hui at elirissa.hui@health.utah.edu CONTACT US Elirissa Hui Academic Adviser, Nutrition Minor 801-585-0827 elirissa.hui@health.utah.edu Thunder Jalili, PhD Director of Undergraduate Studies 801-585-0399 thunder.jalili@utah.edu Campus Resources for Students
