I applied there last year, I did my undergrad, grew up there and my family still lives there. You can apply to the MD and they will email asking that you submit a letter to them explaining your personal ties to Utah. The secondary was horrible, they require very specific LOR's for example one from volunteer, one from patient exposure, one from research and some others, bottom line my clinical experience letter said I worked with a doctor in a clinic but did not reference patient exposure and my volunteer letter said I worked as a CPR instructor with AHA but did not specifically say I volunteered so they sent me an email saying I was incomplete based on the lack of those two letters. As I remember it they had a pretty tight deadline once they send out the secondary so make sure you have everything in order by the time you apply.