Application file created for:

Emily Johnson

Dear Emily,

Thank you for submitting your application to the University of Utah! I’m very excited to return
your admission decision, but I need all of your supporting materials before I can begin reviewing your
application. Please complete the following steps as soon as possible:

STEP 1: Download and print this application packet. This includes your application as you
submitted it, your Official Document Request to hand to a school official, and instructions
on how to have your ACT/SAT scores sent to the University of Utah. Keep this file for
your records.

STEP 2: Take your Official Document Request to your school official. Take the following
Official Document Request to the school official who sends your official transcripts
(registrar or school counselor) and ask that the appropriate materials be submitted to the
University of Utah as soon as possible.

STEP 3: Pay your application fee. You can log back in to your application to pay online, or send
a check or money order to:
Office of Admissions
The University of Utah
201 South 1460 E. Room 250 S
Salt Lake City, Utah 84112
If you feel you cannot pay your application fee, please download a Request for Admission
Application Fee Waiver (you can log back in to your application to do so). Fee waiver
requests must be sent to admissions_appeal@utah.edu

STEP 4: Make sure we receive your ACT or SAT scores. You can submit your SAT scores at
collegeboard.org (our school code is 4853). You can submit your ACT scores at
act.org (our school code is 4274).

Thank you in advance for your promptness in submitting these items. I look forward to reviewing
your application and sending you an admission decision!

Sincerely,

Mary G. Parker
Associate Vice President, Enrollment Management
The University of Utah
201 S. 1460 E. Room 250 S
Salt Lake City, UT 84112

P.S. You can get a taste of what life at the U is like by visiting us in Salt Lake City. Simply go to
admissions.utah.edu/visit to schedule a visit. I look forward to reviewing your application!
 Official Document Request
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Emily Johnson

3676 S Christine St

Salt Lake City, UT 84106-2068

Student release and waiver status:

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Emily Johnson 10/29/2017 11:01

STUDENT NAME DATE

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Your student referenced above has just submitted an application for admission to the University of
Utah. Please take a moment to send us the following document(s) at your earliest convenience:

Official high school transcript(s)

Upload the documents now.

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Student PIN: HTXBF6XFK

Or you may mail documents:

Mailing Address: Office of Admissions, The University of Utah, 
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Salt Lake City, Utah 84112

The University of Utah also accepts official electronic transcripts from Parchment, National
Student Clearinghouse, AVOW, Credential Solutions Transcripts Network, and Scrip-Safe.
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Thank you for your prompt attention in submitting these documents.

4853AI0005
The University of Utah - Imagine U Application

Personal Information

PLEASE NOTE: The name on this application must match your name as it will appear on your passport or any legal document,
as well as your official transcripts from high schools, colleges, universities and test scores.
First Name Emily
Middle Name M
Last Name Johnson
Preferred First Name Emily
Do you have any records that appear under a No
former name?

The following questions are for informational purposes only and will not affect your admission decision.

Gender Female
Do you identify as part of the LGTBQ No
community?

Date of Birth 03/07/2000

Social Security Number XXX-XX-XXXX
Privacy Act Notice: The University of Utah confidentially maintains your Social Security number for routine uses, such as facilitating document matching,
verifying your identity, and expediting your enrollment and financial aid. Disclosure of your Social Security number is voluntary. Failure to provide your
Social Security number may delay the processing of your application, and once you're admitted, this failure could result in delay or loss of federal and
state financial aid, tax credits, student loan deferments, veteran benefits, and other benefits provided by law.

E-mail Address emilymaej12@gmail.com

Cell Phone Number 801-910-5455

Home Phone Number 801-265-3676
Work Phone Number --

Citizenship

Are you a U.S. citizen? Yes

Your Address

Permanent Address
Address 3676 S Christine St
Address 2
City Salt Lake City
State/Province Utah
ZIP/Postal Code 84106-2068
Country United States
Is your mailing address the same as your Yes
permanent address?
Your Family

Family Member 1
Relationship to You Mother
First Name Sherri
Middle Name Lynn
Last Name Johnson
Highest Level of Education Some College (no degree)
Is this family member living? Yes
E-mail Address shadowslc@centurylink.net
Phone Number 801-910-3511
Cell
Did this family member earn a degree from the No
University of Utah?
Is this family member a University of Utah No
employee?
Is his or her mailing address the same as your Yes
permanent address?

Family Member 2
Relationship to You Father
First Name David
Middle Name Jeffrey
Last Name Johnson
Highest Level of Education Bachelor's Degree (B.A., B.S., etc.)
Is this family member living? Yes
E-mail Address shadowslc@centurylink.net
Phone Number 801-910-2164
Cell
Did this family member earn a degree from the Yes
University of Utah?
Is this family member a University of Utah No
employee?
Is his or her mailing address the same as your Yes
permanent address?

Additional Family Information

With whom do you reside? Both Parents
What is the primary language spoken at home? English
Do you work to supplement your family's No
income?
Do you serve as the primary caregiver for No
family members?
Legal Residency Status

The Office of Admissions follows the state law Utah Code 53B-8-102, "Definition of resident student," to determine your initial
residency classification. If you fail to complete all of these questions, you will be classified as a nonresident for tuition purposes.
Residents of Utah under the age of 25 must provide information about their parents or legal guardians. This information is
required to determine residency classification. Omission of all parent/guardian information will result in classification as a
nonresident.

Are you a legal resident of Utah requesting Yes

resident student status?

Are you currently living in Utah? Yes

County Salt Lake County
Do you have a driver's license? Yes
Driver's License State Utah
Are you married? No
Do one or both parents/guardians reside in Yes
Utah?
Have one or both parents/guardians resided in Yes
Utah for the last 12 continuous months?

Past Activities for the Last Three Years

This section helps determine where you have been physically located the last three years. Extracurriculars, awards, and other items needed for the
admissions process will be asked for in a later section. Indicate what you have been doing (for example: school, work, military, stay-at-home parent,
volunteer work) and what country and city you have resided in for the past three years. Be specific and account for all months. Failure to include all
information will result in a nonresident classification for tuition purposes. Note: If you are a high school student and have lived in Utah and attended high
school in Utah each of the past three years, you only need to indicate "School" as your activity, enter the start date for when you began high school, and
click the "To Present" checkbox.

Activity School
Country United States
State Utah
City Salt Lake City

Start Date 08/20/2014

End Date 05/25/2018
[X] To Present

American Indian Tribe

If applicable, indicate the American Indian Tribe of which you are a registered member.

An American Indian, not otherwise qualified as a resident, shall be entitled to resident student status if he or she is on the tribal rolls of a tribe whose
reservation or trust lands lie partly or wholly within Utah or whose border is at any point contiguous with the border of Utah.

American Indian Tribe

Ethnicity (Optional)

If you wish to be identified with a particular ethnic group, please select the choice that most accurately describes your heritage.
This is for informational purposes only and will not affect your admission decision.
Are you Hispanic or Latino? No

Select one or more of the following races: [ ] American Indian or Alaska Native
 [ ] Asian
[ ] Black or African American
[ ] Native Hawaiian or Other Pacific Islander
[X] White

Your Plans

Enrollment
When do you plan to enroll? Fall 2018

Academic Interest
What is your intended major? If you're not sure, Pre Chemical Engineering BS
that's OK; just select "Undeclared."

Honors College

Do you plan to pursue a graduate or Yes

professional degree?
Would you like to apply to the Honors College? No

Secondary/High School

Are you currently enrolled in or have you Yes

graduated from secondary/high school?

Name Ames Academy Math Eng Science

Address 5715 S 1300 E
City Salt Lake City
State/Province UT
ZIP/Postal Code 84121-1023
Country USA

Secondary/High School Graduation Date 05/2018

Secondary/High School Courses

Please list the courses you are currently taking or planning to take before enrolling at the University of Utah (if applicable).
Identify whether these are AP, IB, Honors, or Concurrent/Dual Enrollment courses. This information is helpful in identifying what
courses are not listed on your current transcript(s).

Course Title Honors Chemistry

Course Title AP Calculus

Course Title US Government

Course Title College Physics

Secondary/High School Official
Please provide the following information for the individual responsible for sending your official transcript(s) to universities
(typically this will be a registrar or high school counselor). Once you submit your application, an e-mail will be sent to this person
alerting him or her that you have applied to the University of Utah and will be following up to request that your transcript(s) be
sent to the U.

Secondary/High School Official First Name Kari

Secondary/High School Official Last Name Gardner
Secondary/High School Official E-mail Address kgardner@ames-slc.org

GPA

Please provide your cumulative grade point average (GPA) as it is listed in your transcript(s). If your school provides both
weighted and unweighted GPAs, please provide the unweighted one.

Unweighted Secondary/High School 3.70

Cumulative GPA
What GPA scale is used? 4.0

Test Scores

ACT
Did you take the ACT? Yes
ACT Composite Score 24

SAT
Please note that we do not currently accept SAT II scores (also known as "SAT Subject Tests"). Please report only standard
SAT scores.

Did you take the SAT? No

When will you be taking the SAT? /

Postsecondary School Courses

List all postsecondary schools (colleges or universities) where you have or will have earned college credit, including any
concurrent or dual enrollment credit, beginning with the most recent. Failure to report all postsecondary schools at which you
have registered or enrolled may result in denial of admission or cancellation of admission or enrollment, loss of transfer credit,
and/or dismissal from the University of Utah.

Have you taken any postsecondary school Yes

courses (concurrent or dual enrollment) while
attending secondary/high school?

Postsecondary School 1
If you are currently in high school, you need to list only the institutions and dates attended for these courses.

Name Univ Utah

Address
City SALT LK CTY
State/Province UT
ZIP/Postal Code
Country US
Date Attended From 08/2017
Date Attended To /
[X] To Present

Degree Earned
Expected/Actual Completion Date (if 04/2018
applicable)
What was your GPA at this school?
Credit Hours Completed
What credit hour system is used? Semester
What is your standing with this school? In Good Standing
Please list the courses you are currently taking or plan to take before enrolling at the University of Utah (if applicable).

Course Title Writing 1010

Course Title Writing 2010
Course Title
Course Title

Awards and Leadership

Briefly describe awards or honors you have received or leadership positions you have held. You may include athletic
participation. Responses should be limited to no more than five. Choose those that are most meaningful to you.

Award or Honor/Leadership Role Youth Camp Leader

Description

Helped plan a 2 day outdoor summer camp for girls ages 12-18 and taught first aid at camp.
(254 Character Limit)

Grade Year(s) [X] 9th

[X] 10th
[ ] 11th
[ ] 12th

Community Service and Volunteer Projects

Please list the community service or volunteer projects in which you have been involved. Responses should be limited to no
more than five. Choose those that are most meaningful to you.

Service/Project Making Christmas Baskets for Widows in the Neighborhood

Description

Prepared baskets with bread and other goodies and delivered them to widows in my community
(254 Character Limit)

Start Date 12/2012

End Date /
[X] To Present

Did this occur in the state of Utah? Yes

Service/Project Helping the Elderly

Description

Befriending and helping elderly relatives and neighbors who are lonely and have physical limitations.
(254 Character Limit)

Start Date 06/2011

End Date /
[X] To Present

Did this occur in the state of Utah? Yes

Work Experience

Please list any work experience that you have had. Responses should be limited to no more than three. Choose those that are
most meaningful to you.

Employer Self-employed
Description/Duties

Household chores for elderly clients.

(254 Character Limit)

Start Date 01/2017

End Date /
[X] To Present

Hours per Week 5

Did this occur in the state of Utah? Yes

Employer University of Utah Mechanical Engineering Department

Description/Duties

Internship with Shad Roundy's team in the Mechanical Engineering Department, assisting in making prototypes for
movement-powered watches and assembling cameras for collecting data on the prototypes. (3 weeks total)
(254 Character Limit)

Start Date 06/2017

End Date 07/2017
[ ] To Present

Hours per Week 20

Did this occur in the state of Utah? Yes

Employer Self-employed
Description/Duties

Yard work such as weeding and pruning bushes for neighbors and relatives
(254 Character Limit)

Start Date 03/2013

End Date /
[X] To Present

Hours per Week 2

Did this occur in the state of Utah? Yes

Want to Tell Us More?

Provide any additional information that was not covered earlier in the application (maximum 2,500 characters). This is the place
to give an explanation for any grades on your transcript(s) or bring to light any circumstances you would like us to consider.

Additionally, you can consider answering the following questions:

What are my unique interests or special talents?

Why am I interested in attending the University of Utah?
How will I contribute to the diverse campus community?

Note: This section is optional, but in addition to your application for admission, the information you give may be used in considering you for scholarships
and/or academic majors/programs.
When I was four, I started dancing. I went to a neighborhood dance studio until I was 15 where I did clogging, jazz, hip hop,
ballroom. As I got older, I decided to focus on ballroom and joined a more competitive studio. At this studio, my team competed
in different competitions and won on a national level in swing category. Since I was five years old, I have taken piano lessons
from my great-grandmother. I have come to appreciate the strengths of the engineering program at the University of Utah. I
love the vibe at the university and would love to be part of it as a student. I can contribute to the diverse campus community by
being a woman who is interested in engineering and ballroom dance.

Additional Questions

The University of Utah seeks to admit students who provide evidence of intellectual performance, good character, and potential
that will allow them to succeed during their time as students. The university recognizes that learning opportunities are enhanced
by a conducive environment. The University of Utah is committed to the safety and well-being of a community of students who
demonstrate integrity and respect for others and the campus community. As part of the application process, we ask that you
disclose prior student conduct and criminal issues. Answering "yes" to one or both of the following questions will not
automatically preclude you from joining the University of Utah's community. No application for admission is automatically denied
based on conduct or criminal disclosures. Each application is given thoughtful and individual consideration. Failure to truthfully
and accurately respond to this section of the application may be grounds for denial of admission and/or subsequent dismissal
from the University.

Are you currently, or have you ever been, No

subject to disciplinary action including
suspension or dismissal for non-academic or
behavioral misconduct at any high school,
college, or university?
Have you ever been convicted of, or pled guilty No
or "no contest" to, a felony or a misdemeanor
involving a crime of violence (e.g., assault),
stalking, or sexual offense, or are any criminal
charges now pending against you?

Certify

By submitting your application, you certify that, to the best of your knowledge, the information submitted on this application is
accurate and complete. You understand that if it is found to be otherwise, it is sufficient cause for refusal, rescission, or
dismissal. Any person knowingly making a false or misleading statement is guilty of a Class B misdemeanor and is punishable
pursuant to Utah Code Annotated Section 76-8.504.

In addition, you must notify the Office of Admissions if any information provided in this application changes after its submission.
You also acknowledge that the University of Utah, at its sole discretion, may verify any information submitted with your
application. You also consent to the release of your high school transcript(s) or any other materials relevant to the University of
Utah regarding an admission decision.

You also understand that if you are admitted, your admission is contingent upon your final credentials reflecting academic
achievement similar to the assessment at the time of your admission. If you are admitted, you agree to observe all the rules and
regulations of the University of Utah. You understand you will be responsible for payment of all amounts owed to the University
(including, but not limited to, tuition, fees, fines, rents, and parking citations). You agree to make payments promptly and that all
payments will be applied to charges in the order determined by the University, and you also agree to pay reasonable collection
and/or attorney fees necessary to collect any outstanding balance on your account(s).

[X] I understand the terms listed above and acknowledge that violation of these terms is sufficient cause for refusal,
rescission of an admission offer, or dismissal.

[X] I understand that I am required to submit official transcripts from all postsecondary schools I have attended. I also
understand that if I am required to submit test scores (e.g., ACT, SAT, TOEFL, IELTS, etc.), they must be submitted
directly to the University's Office of Admissions from the testing agency.

I voluntarily consent to conduct electronic Yes

transactions with the University of Utah Office
of Scholarships and Financial Aid as they relate
to Federal Student Aid and student loans. I
understand that I may update this voluntary
consent at any time by contacting the Office of
Financial Aid.
Signature (Please type your name.) Emily Johnson

Almost finished, Emily!

Once you click the "Submit Application" button below, you will be able to:
Download/Print Your Application
Submit Your Official Document Request, which will print when you download and print your application, to Your School
Official
Pay Your Application Fee
Submit Your Official Test Scores