California State University San Marcos
MBRS Research Initiative for Scientific Enhancement (RISE) Program
Graduate Student Application Form
Name:
Social Sec. #:
DOB:
Address:
Expected Graduation Date:
City, State & Zip Code:
E-mail address:
Phone:
Major:
GPA:
Masters:
Semesters Completed:
Are you eligible to work in the US?
Are you a citizen or a non-citizen national or permanent resident?*
Where did you hear about the RISE Program?
Yes
Yes
No
No
Please check the box that best describes your race or ethnicity (optional):
Hispanic/Latino
Native American
Pacific Islanders
African American
Please attach the following materials:
1. Unofficial transcript to confirm good academic standing.
2. Statement of career objectives: (No more than one page, 12 pt. Font Helvetica or Times New
Roman).
3. Relevant Graduate research experience (No more than one page, 12 pt. Font (Helvetica or
Times New Roman).
4. Three letters of recommendation (Two letters must be from a science faculty familiar with your
academic performance)
To the best of my knowledge, the information I am stating is accurate.
_________________________
Printed Name
__________________________
Signature
* If accepted to the program you will be required to submit proof of your legal right to work in the United States.
________________
Date
In addition, the RISE program requires
that participating students be either citizens, a non-citizen national or permanent resident. If you do not meet these classifications, you will be unable to
participate in the program.
OTRES revised 3/9/2015