2012 Infrastructure Academy Transportation Program (IATP)
California State University, Los Angeles,
College of Engineering, Computer Science, and Technology
Request for Application
Personal Information
First Name:
Last Name:
Male 
Gender:
Female 
10th 
Cumulative GPA:
11th  12th 
Grade:
Social Security Number:
2012 
Year you graduate:
2013  2014 
Home Contact Information:
Home Address:
City, State, Zip:
Home Phone:
Cell Phone:
Ethnicity: (Please check
Latina/o
White
)
African American
Career Interests: (Please check
Engineering
Email Address:
Native American
Asian American
Other
)
Architecture
Computer Science
Technology
Environmental
Law
Criminal Justice
Other
Accounting
Transportation
Scientific Research
Business
Marketing
Parent’s Information:
Parent/Guardian:
Phone Number:
Work Number:
E-mail Address (1st)
E-mail Address (2nd)
Home Address:
City, State, Zip:
Cell Number:
High School Information:
High School Name:
Address:
City, State, Zip:
Guidance Counselor’s Information:
Counselor’s Name:
Telephone Number:
Fax Number:
Email address:
Criteria for student admissions are pass/fail. A fail on an
 Students must have a minimum 2.0 GPA.
 Participants must be over 16 years old on the first day of the program.
 Students must be concurrently enrolled in a high school and must be on schedule to graduate
in June 2012, 2013 or 2014.
 Students must be able to attend classes at CSULA using either public or personal
transportation.
 Students must make commitment to attend scheduled Saturday’s classes starting Saturday,
May 5, 2012 – December 7, 2012.
 Students must attend orientation on Thursday, May 3, 2012 from 5:00pm –8:00 pm with a
parent/guardian.
 Students must have proof of legal right to work. This means U.S. citizenship, permanent
status as a U.S. resident, or a work visa.
Required Essay:
Your essay should:
 Describe your career objectives
 Discuss your interest in transportation
 Explain how the IATP can assist you in reaching your goals
 Be no more than one page in length
 Be typed (double-spaced, size 10 or 12 font)
Additional Information:
Please include:
 2-letters of recommendation
 1 copy of your high school unofficial transcripts
If you have questions, please contact:
Dr. Hassan Hashemian
Professor, Civil Engineering
(323) 343-4499 - Fax (323) 343-6316
hhashem@calstatela.edu
or
Donna Melendez
Department of Civil Engineering
(323) 343-4450 – Fax (323) 343-6316
dmelend@cslanet.calstatela.edu