Application to the Wolves to Rams S-STEM Scholarship – College of Natural Sciences Forms

First Name*

Last Name*

CSU ID

Either CSU ID or FRCC ID is required

FRCC ID

Either CSU ID or FRCC ID is required

Personal email address*

Cell Phone Number

Home Address

Street

Street 2

City

State

Zip

Please tell us about a mentor you have at CSU, FRCC or elsewhere. How has this person influenced you personally and as a science student and/or scientist? 150 words approx

Based on personal experience, what has led you to pursue a career in STEM and what are your future goals? 150 words approx

The process of discovery best advances when people from various backgrounds, experiences, and perspectives come together. How do you see yourself contributing to the diversity of the Wolves to Rams community?

Gender*

Female
Male

Ethnicity*

Hispanic or Latin
Not Hispanic or Latin

We realize that these options are not inclusive, but we are limited to the restraints of Federal Grant Guidelines.

Racial Identity*

Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
White

We realize that these options are not inclusive, but we are limited to the restraints of Federal Grant Guidelines.

Veteran Status*

I am a veteran
I am not a veteran

First Generation Status*

Neither parent earned a college degree
Both parents earned a college degree
One parent earned a college degree

Do you have a disability?*

Yes
No

We realize that these options are not inclusive, but we are limited to the restraints of Federal Grant Guidelines.

Have you completed FAFSA for the 2019-2020 academic year?*

Yes
No
I do not know

If your answer is “No” or “I do not know” please do not complete this application at this time. Take a moment to file your FAFSA or find out the status of your application. Then return to this application to complete it and submit.

My CSU Major is*

U.S Citizen/Permanent Resident

Yes
No

Where will you take class in: (check all that apply)

Spring 2020

CSU
FRCC

Fall 2020

CSU
FRCC

Spring 2021

CSU
FRCC

Current FRCC or CSU Professor/Teacher/Advisor Reference (optional)

Reference First Name

Reference Last Name

Reference Email