S-STEM - STATESS Application
S-STEM @ UCF
| The STATESS project
STATESS Web Application Form
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Required Fields
Personal information
First/MI/Last Name
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UCF PID
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:
Are you a US Citizen or Permanent Resident?
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Yes
No
Gender:
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Male
Female
Date of Birth:
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Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
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1998
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1971
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1968
1967
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1965
1964
1963
1962
1961
1960
1959
1958
Race/Ethnicity:
American Indian/Alaska Native
Asian
Black/African American
Hispanic/Latino
Native Hawaiian/Other Pacific Island
Other
Two or more races, non-Hispanic
White
Disabilities:
Contact Details
Home Phone:
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Mobile Phone:
Email:
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Permanent Address
Address:
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City/State/Post Code:
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Country/Region:
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School Address
Same as above
Address:
City/State/Post Code:
Country/Region:
Academic Status
Recent Institution:
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Major/Minor:
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/
What semester and year is your first at UCF?
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Fall
Spring
Summer
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
Will you be enrolled full time?
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Yes
No
Are you taking any student loans?
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Yes
No
Unsure
Type of Student:
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Incoming Freshman
Incoming Transfer
Returning or Current Undergraduate
Incoming Graduate
Current Graduate
Student Status:
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Freshman
Sophomore
Junior
Senior
Graduate
Degree Program:
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Associate's
Bachelor's
Master's
Doctorate
GPA:
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SAT/GRE:
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Academic Experience
Math Courses Taken:
Computer Science Courses Taken:
Programming languages you know:
Research experience:
Awards/Prizes/Scholarships Received:
Plans for Future and Career Goals:
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Any other pertinent information:
Participation in Internship:
Student Employment:
Authorization
I authorize the release of my financial aid information to the STATESS Scholarship committee.
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Please type your full name to confirm authorization:
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Required Fields
