STEP into STEM Application 2021
STEP into STEM Application 2021
Personal Information
First Name
*
Middle Name
Last Name
*
CSULB Student ID #
*
Address
*
City
*
State
*
Zipcode
*
Phone Number
*
Email Address
*
High School Information
What high school do you currently attend?
*
When is your high school graduation?
*
Current GPA
*
What math courses have you taken in high school? (list all)
*
Are you currently taking a math class?
*
Yes
No
What is the last high school math class you are taking or have taken, and what semester?
*
In High School, did you participate in?
Young Scholars at CSU Long Beach
Take Dual Credit Courses such as Classes at a Community College
Do you plan to or are you going to take any of the following exams? (Check all that apply)
*
AP Calculus AB
AP Calculus BC
IB Math - Higher Level
CLEP College Algebra
CLEP Precalculus
CLEP Calculus
No
CSULB Information
Were you admitted to CSULB for Fall 2021?
*
Yes
No
What college did you apply to?
*
College of Engineering
College of Natural Sciences and Mathematics
Undeclared
What Department in College of Engineering?
*
Chemical Engineering
Civil Engineering & Construction Engineering Management
Computer Engineering & Computer Science
Electrical Enginneering
Mechanical & Aerospace Engineering
Biomedical Engineering
What department in College of Natural Sciences & Mathematics
*
Biological Sciences
Chemistry & Biochemistry
Geological Sciences
Mathematics and Statistics
Physics and Astronomy
Science Education
Environmental Science and Policy
What is your major?
*
When is your SOAR (Student Orientation, Advising, and Registration) Date?
*
Are you participating in any of the following programs Fall 2021 at CSU Long Beach?
*
Educational Opportunity Program (EOP)
Beach Engineering Student Success Team (BESST)
Early Start Math 100
Honors Program
Beach Pathways
Beach Pledge
Athletic Program
Other
In 3 - 4 sentences, tell us the following: Why have you chosen to pursue this major? What is your career goal?
*
ALEKS PPL
Have you received access to Mathematics ALEKS PPL?
*
Yes
No
If yes, have you completed any Mathematics ALEKS modules?
*
Yes
No
If yes, how many modules have you completed?
*
Demographic Information
Your answers are for reporting purposes only. Your answers will not affect your selection into the program.
Gender
*
Male
Female
Prefer not to Disclose
Are you Pell Grant eligible?
*
Yes
No
Not Sure
Race/Ethnicity (Check all that apply)
*
Asian
Black
Caucasian
Hispanic/Latino
Middle Eastern
Native American
Other
Are you first generation educated?
*
Yes
No
How did you hear about the program? (check all that apply)
*
Flyer
Email
Website
Mailer
School Counselor
Other
Program Information
What do you hope to gain by participating in the STEP into STEM program? (short paragraph)
*
Complete participation in the program is mandatory. Are you able to participate during the entire program dates: June 21st through July 2nd, 2021, Monday through Friday from 1pm to 4:00pm?
*
Yes
No
Submission
High school transcripts upload required (.pdf or .docx only)
*
Uploading Files. Please Wait.
Please read and check off each statement below.
*
I understand that my academic record will be reviewed in order to determine eligibility and selection.
Please read and check off each statement below.
*
I certify that the inputted information is true and correct to the best of my knowledge.
Please read and check off each statement below.
*
I understand that the submission of this application does not guarantee that I will be selected.