Verification of Commitment

Please Complete and and Sign

Application is Complete and Accurate

My application for admission to the Boise State University Master of Science in Genetic Counseling (“MSGC”) degree program is complete and accurate. I am able and willing to:

Participate in the second year of fieldwork as described which will likely include travel outside of my permanent residence(Required)

I agree

Pledge the required hours (suggested 30 hours per week) to actively engage in the program as a full time student(Required)

I agree

Program Expenses

Although the program will minimize expenses, the costs associated with the fieldwork rotations are not covered by tuition and will be my responsibility. I understand that an incomplete or inaccurate statement or representation in any of my application materials may result in denial or revocation of my admission to the MSGC program, or if discovered after my admission, may result in my dismissal from the MSGC program.

Applicant's Signature (Please type your name to confirm)(Required)

Date(Required)

National Match Number(Required)

Transact Reference Number/Program Application Fee Receipt(Required)