Student Bridge Registration

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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
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DEMOGRAPHIC INFORMATION
Declared Major:
Date of Birth
Please select an ethnicity that best reflects you
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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
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Geometry
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Algebra 2
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PreCalculus
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Calculus
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Integrated
Science
Not
Taken
Not
Taken
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B
C
D
F
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Biology
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Chemistry
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Physics
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Other 1
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Other 2
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Type of high school programs and leadership programs participated in:
Click to Select
Upward Bound
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AVID
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IB (Honors)
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Talent Search Program
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Advanced Placement
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MESA
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Intel Science Expo Fair
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ORTOP-Lego Robotics
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4-H
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First Robotoics
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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
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Math Course 2
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Math Course 3
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Math Course 4
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What college level science have you taken? (required) Please list course title and grade below
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B
C
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Science Course
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Science Course
3
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Science Course
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Science Course
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Science Course
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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)
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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?
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Maybe
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Most likely will
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Definitely yes
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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.
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