Application for admission to the Master of Science Program

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1 Application for admission to the Master of Science Program Department of Chemistry and Biochemistry CALIFORNIA STATE UNIVERSITY, LOS ANGELES Please submit this completed PDF to the Department as an attachment by March 31, address: Participation in the Chemistry MS Program (including the Option in Biochemistry) requires admission to the graduate program at California State University, Los Angeles. The application deadline to the University (through CSUMentor website) for Fall 2016 is March 31, 2016). I. Background Information a. : B. Address: C. City: State: Zip Code: D. Cell Phone Number: Home Phone: E. Ethnicity/Race (Provision of this information is optional) African American/Black; Hispanic/Chicano(a)/Latino(a); Caucasian/White; Native Hawaiian, Samoan, Guamanian; American Indian or Alaska Native (Tribe ); Filipino(a); Other Asian (identify) ; Other (identify) F. Person to Contact in Case of Emergency G. Relationship Telephone: : H. Address: City: State: Zip Code: II. Educational Background and Career Goals a. Undergraduate College or University Major of Graduation B. Overall Grade point average (a=4.0, b=3.0, etc.): C. Grade point average in science/math/engineering courses: D. Check area of proposed Cal State LA Chemistry MS degree. Marking multiple areas is acceptable. Analytical; Biochemistry; Chemistry Education; Inorganic; Organic; Physical E. Please indicate the degree path you plan to take: Research Thesis; Comprehensive Examination F. How did you hear about our program: website; internet search; family; Friend; academic advisor; professor/mentor; other:

2 III. Please attach the following to complete this application: A current resume. Include any honors received; research experience, and resultant publications and presentations; and employment in scientific industry or in science education. In an essay of not more than 1000 words, respond to the following: 1) How will a Masters of Science degree in Chemistry (or the Biochemistry option) help you achieve your career? 2) Explain how your background has helped prepare you for success in our graduate program. 3) If applicable, explain any discrepancy between your grades in academic coursework and your talents and potential. 4) If applicable, describe any experience you have in research; working in science education; scientific industry; or other related areas. The Graduate Program Admissions Committee will use your responses to assess your interest in our MS program and also your ability to express your ideas through writing. Arrange to have three letters of reference written on your behalf by science, engineering, or mathematics faculty members or (and list these individuals below). One of the letters can be form a supervisor in scientific industry or teaching. These letters should be completed on the attached Recommendation Form and ed to us by the writer as an attachment to: If your letter writers prefer, they can print out and mail the letters to the Department of Chemistry and Biochemistry. Referee No action will be taken on incomplete applications, including letters of reference. of Applicant Please return the completed application form not later than March 31, 2016 to: Department of Chemistry and Biochemistry California State University, Los Angeles 5151 State University Drive Los Angeles, California any questions? Please contact Maribel Estrada: ; VISIT THE CHEMISTRY & BIOCHEMISTRY WEBSITE: ESPECIALLY THE MS PAGES: CHECKLIST FOR REQUIRED APPLICATIONS: This Application for admission to the Chemistry MS Program. The deadline is March 31, 2016s. Apply through University Admission. apply online through University Graduate Admissions: The Deadline for application is March 31, The University does not accept late applications. 2

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