AHS Undergraduate Application Form "*" indicates required fields Name* First Last What is your 7-digit Student Admin ID#?* UConn Email* Are you on Academic Probation?* No Yes (if yes, not eligible to apply) Course InformationCourses must be complete at time of application. Details on prerequisite coursework can be found here: AHS Major AdmissionsSelect course for CHEM prerequisite* CHEM 1122 CHEM 1124Q CHEM 1125Q CHEM 1126Q CHEM 1127Q CHEM 1128Q Other Enter grade for the above CHEM course:*AA-B+BB-C+CC-D+DD-Select if AP courseSelect if Transfer CourseSelect course for BIOL prerequisite* BIOL 1107 BIOL 1108 Other Enter grade for the above BIOL course:*AA-B+BB-C+CC-D+DD-Select if AP courseSelect if Transfer CourseSelect course for MATH/STAT prerequisite* MATH 1060Q MATH 1070Q MATH 1131Q STAT 1000Q STAT 1100Q Other Enter grade for the above STAT or MATH course:*AA-B+BB-C+CC-D+DD-Select if AP courseSelect if Transfer CourseEducation and CareerCurrent Campus:*StorrsWaterburyHartfordAvery PointStamfordWhat is your expected graduation date?* Are you an honors student?* Yes No Allied Health Sciences honor students have specific honor requirements that may be different from your current major. Junior or senior status students may have a delay in graduation to fulfill all AHS honor requirements. Are you applying as an Additional Degree?* Yes (if yes, please upload additional degree form below.) No What is your Current Major?* ACES BIOL MCB PNB SLHS PSYC EXSC NUSC Other Would you like to request a specific AHS advisor? Please choose a concentration. Concentration changes can be made at a later time if admitted into AHS. (Healthcare Admin requires additional prereq)* Standard Plan Public Health and Health Promotion Health Sciences Healthcare Administration Occupational and Environmental Health and Safety What is your career goal or healthcare interest?* Upload unofficial or official transcript from UConn and/or additional university or college:*Max. file size: 250 MB.Upload another unofficial or official transcript from UConn and/or additional university or college if applicable:Max. file size: 250 MB.Upload additional degree form if applicable:Max. file size: 250 MB.Personal Statement: Include relevant information pertaining to your interest in the AHS Major, and any healthcare, community, and/or lived experiences that have shaped or impacted you. Note that you are not required to have prior experience or healthcare certifications to apply. (500 word max)*EmailThis field is for validation purposes and should be left unchanged.