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Summer Rising Application
Summer Rising Application
Student Information
First name
*
Middle name
Last name
*
UC Berkeley SID
*
Cell phone number
entered as XXX-XXX-XXXX
UC Berkeley E-mail
*
Where were you born?
*
entered as City, State/Province, Country
What is your citizenship?
*
I am a US citizen.
I am a permanent resident of the US.
I am a Dreamer.
If other:
Race/Ethnicity (check all that apply)
*
American Indian/Alaskan Native/Native Pacific Islander
Asian American
Black/African American
Caucasian
Hispanic/Chicano/Latino
Other
If Other race/ethnicity, please describe
Are you currently receiving financial aid?
*
Yes
No
Do you consider yourself a first-generation college student?
*
Yes
No
I am not sure
Name of Home Town
*
Gender
*
Male
Female
Other
Other(specify)
School Information
What math, physics, chemistry or engineering courses were you enrolled in during 2015-2016 academic year?
*
Of the course listed above, please rank them in order of which have you the most difficulty.
*
What is your academic standing?
*
Sophomore
Junior
Other
Other
When are you planning to graduate?
*
Spring 2018
Spring 2019
Spring 2020
Other
Other
UC Berkeley overall GPA
*
What on-campus clubs, research programs, special academic programs are you a part of? Please check all that apply.
*
WiSE Dorm/WiSE Course
AISES
BESSA
Berkeley Science Network
Chemistry Scholars Program
COINS Program
EOP
Haas Scholars Program
HES
HSF
IMSD
Incentive Awards Program
Intel Scholars Program
MARC
McNair Scholars Program
Miller Scholars Program
Mellon Mays UG Fellowship Program
NARRC
oSTEM
PDP
RISE
SACNAS
SAGE Scholars Program
Student Support Services Program
SUPERB
URAP Program
None of the Above
Other/s
Other
Do you have undergraduate research experience?
*
Yes
No
If yes, what is your research mentor's name, department, and campus. What is the title of your research project?
*
(Please write "N/A" if this does not apply to you.)
Do you plan to attend summer school during 2016?
*
Yes
No
If Yes, what classes?
Essay Questions
At this time what are your plans after you graduate from UC Berkeley?
*
Introduce yourself.
*
Please introduoce yourself with a few paragraphs that describe your interest/s in Science, Technolgy, Engineering and/or Mathematics and your career aspirations. Identify the contributions that you wish to make to your chosen field of study and to your community.
Please describe your feelings about studying Science, Technology, Engineering and/or Mathematics at Berkeley. Have there been challenges? If so what have they been?
*
What would you like to gain from participating in Summer Rising 2016?
*
Name three words that best describe you.
*
Additional Comments about yourself that you wish to share about yourself (optional)?
Program Expectations
Please put your initials below in agreement to the following: *If selected to take part in the Summer Rising Program, I understand that I am expected to attend class meetings and participate on team items/projects/activities. *I understand that I will be asked to connect with a mentor from industry and act in a professional manner. *I understand that participation is important and not completing assignments, attending advising appointments, and/or team assignments may be cause for removal from the program. *I understand that respect for our diverse students and their backgrounds is important for program participation.
Initials
*
Summer Rising Application