LSAMP (Louis Stokes Alliance for Minority Participation)

Our goal is to increase the number of underrepresented minority students who graduate with degrees in the sciences including math, engineering and computer science. This program is for full time SUNY Orange students who are interested in conducting scientific research during the summer. You must be a U.S. Citizen to participate in this federally funded program.

Personal Information

Please provide the following information
Name Name * First Last
SUNY Orange A number *
Date of Birth Date of Birth * / MM / DD YYYY
I identify my gender as... *
Phone Phone * - ### - ### ####
Enter your sunyorange email *
Citizenship *
New York State Resident? *
You identify your race as (if you identify with more than one, select one here and select an additional one or two in the next questions) *
You ALSO identify your race as
You ALSO identify your race as
Ethnicity *
GPA *

If you do not have a GPA, please enter "999" and then provide EVIDENCE of your academic readiness in your Statement of Interest
Intended Major *
Release

I give SUNY Orange staff permission to verify the above, access my transcript and share information on this application within the SUNY LSAMP Alliance. I understand that I may be contacted with information about other opportunities in science, math, engineering or technology.
Draw your signature to consent to the release

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Statement of Interest

Please address the following questions:
1. How did you become interested in your intended major?
2. What qualities do you have that will make you successful in your field?
3. How will your participation serve to forward the goal of the LSAMP program? (see above)
Enter your Statement of Interest in the box below
Must be between 300 and 500 words. Currently Entered: 0 words.
OR upload a file containing your Statement of Interest

Attach Files

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Thank you for your application!

LSAMP (Louis Stokes Alliance for Minority Participation)

LSAMP (Louis Stokes Alliance for Minority Participation)

Personal Information

Release

Statement of Interest

Thank you for your application!