Scholars for Success in STEM Application The following questions will be asked of you when you apply for the bridge program. We recommend having all answers ready in advance. The essays questions can be easily cut and paste into the application text boxes. Should you have any issues, please contact 503-7254631. You may start and leave the application, but remember you must complete the application on the same computer you started. Our advice, use this guide to gather all your answers, then start the online application process so you can complete it all at once. ***************Application Text Below******************************************************************* Please read and answer every question thoroughly. Note: Completing this application on different computers does not allow you to complete it where you left off previously. Please complete your application on only one computer. Please download the "application summary" to see a list of the questions you will be asked from the www.pdx.edu/lsamp site. PSU ID: First Name Last Name CONTACT INFORMATION Address City State Zip Code Phone Number: Does this phone number accept texts? Yes No DEMOGRAPHIC INFORMATION Declared Major: Date of Birth Please select an ethnicity that best reflects you African American Asian American Caucasian Hispanic/Latino Native American Pacific Islander Multi-Racial I Choose Not to Answer Are you the first in your family to attend college? Yes No Does anyone in your family have a college degree? Yes No Please select an answer below that best describes your status at PSU in the fall of 2013: I am going to be a freshman I am a transfer student. The following are for high school students only HIGH SCHOOL ENTRY QUESTIONS What high school did you attend? Name of high school: What is your overall GPA? High School Overall GPA: Indicate grades for each course you have taken with the grade below. If you did not take a course, list as "not taken" Grade 1st Semester Grade 2nd Semester A B C D F Algebra Geometry Algebra 2 PreCalculus Calculus Integrated Science Not Taken Not Taken A B C D F Biology Chemistry Physics Other 1 Other 2 Type of high school programs and leadership programs participated in: Click to Select Upward Bound AVID IB (Honors) Talent Search Program Advanced Placement MESA Intel Science Expo Fair ORTOP-Lego Robotics 4-H First Robotoics If others, please list below Program 1 Program 2 Program 3 The following are for high school students only. What is the name of the community college you last attended? Community College name: What is your overall transfer GPA? Transfer GPA: How many community college credits do you have? Amount of credits: What college level math courses have you taken? (required) Please list course title and grade below: Please select a grade per course A B C D F Math Course 1 Math Course 2 Math Course 3 Math Course 4 What college level science have you taken? (required) Please list course title and grade below A B C D F Science Course 1 Science Course 3 Science Course 3 Science Course 4 Science Course 5 Everyone answers the following questions Why did you initially choose Portland State’s Maseeh College of Engineering and Computer Science (MCECS) program? (Mark all that apply) Reputation PSU/MCECS offers the degree program I want Faculty Cost Received PSU/MCECS scholarship or financial aid Location: close to home Location: wanted to be in a metro area Size of PSU Only school admitted to Other: Please list: ____________________ Do you plan to complete your bachelors degree at PSU in the Maseeh College? No Do you plan to complete your bachelors degree at PSU in the Maseeh College? Maybe Most likely will Definitely yes If you answered no or maybe above, can you please provide us more information about your future plans? Why do you want to participate in this summer program? Please be specific about what you want to achieve and how the program can help you achieve your goals. (500 words limit) Please evaluate your academic strengths and weakness. Include a discussion of your academic, personal, and social growth over the past four years. ) (500 words limit) What people and /or activities have helped shape you to become the person you are today? Why? (500 words limit) STUDENT CONTRACT I agree to the following terms and conditions : 1. I will attend the entire S3 program starting with an off-site residential program (September 22, 9am- September 24, 4pm), September 25 (PSU orientation 9am-5pm) as well as participate and attend all S3 seminars at 4pm-5:30pm on the listed dates: October 4, 11,18, 25; November 1, 8, 15, 29. 2. I will comply with PSU’s code of conduct. 3. If my enrollment in PSU changes before or during the program, I must notify the S3 program staff immediately. I certify that the information given in this application is complete and accurate. I agree to the above terms and conditions.