Primary Navigation
  • About
  • Academics
  • Continuing Education
  • Admission
  • Student Life
  • Student Services
  • Library
  • News and Events
  • Giving

STEM Mentoring Program Application

* = required field

Contact Information

1. *First Name
    
    *Last Name
    

2. Oakton ID
    

3. *Permanent Email
    

4. *Phone
    

5. Street Address
    
    City
    
    Zip Code
    

Eligibility

6. *Citizenship

     U.S. Citizen
     Permanent Resident
     Refugee
     Other

7. My Academic Interest (Select all that apply)

     Science (biology, chemistry, physics, etc.)
     Technology
     Mathematics
     Science or Math Education
     Engineering
     Undecided
        

8. I am considering the following career(s)
    

9a. Describe why you are interested science, technology, engineering,
     or mathematics (Be specific)

    Note: This answer is limited to 200 characters. Any responses
    longer than the default will be truncated to 200 characters.

9b. Describe your STEM interest in greater detail

    Note: This answer is limited to 200 characters. Any responses longer
    than the default will be truncated to 200 characters.

10. List the science, technology, engineering, or math (STEM) courses
      you are/will be taking in Fall 2013
      

11. List the science, technology, engineering, or math (STEM) courses
      you took in previous semesters
      

12. When do you plan to transfer?
      

13. What do you plan to major after transferring?
      

Additional Information (Optional) Information you provide in this section does not influence your acceptance into the program.

Race

     White, non-Latino
     Latino
     Black
     Asian
     Other, specify
        
     Prefer not to answer

Gender

     Male
     Female
     Prefer not to answer

Indicate my mentor preference
A mentor is assigned based on your STEM interest, but we will take your preference into account when an option is available.

Same race/ethnicity
Same gender
Same race/ethnicity & gender
Specify mentor
      
No Preference

At Oakton, I am a member of (Select all that apply)

     sports team(s), specify
        
     student organization(s), specify
        
     TRiO
     Honors Program

Currently employed? (Select all that apply)

     On Campus Part Time
     On Campus Full Time
     Off Campus Part Time
     Off Campus Full Time
     Not Employed

Final Confirmation

    By submitting this form, I will complete the following by
    December 17, 2013:

  • Enrolling in BIO200, CHM200, MAT200, PHY200, ENG200, or CSC200 as recommended by the program coordinator,
  • Participating in four activities from a Center for Promoting STEM approved list,
  • If engaging in a science, technology, engineering, or math research project, presenting project at end of semester STEM Students Symposium,
  • Passing all enrolled courses of the semester, and
  • Enrolling in at least one upper level STEM course.

Will you attend

STEM Mentoring Program Meeting on Wed., August 28, 2013 from 3:00 to 4:00pm.
STEM Students Symposium on Tue., Dec. 3 or Wed., December 4, 2013 at 3pm.

     Yes
     No

Furthermore, I give Oakton Community College permission to use my biographical information, my essay, and/or photograph in promotional materials, media releases, and other College publications.


Please contact Gloria Liu (847.635.1738, glorial@oakton.edu) if you have any questions.

Contact STEM

Joe Kotowski
Director, Center for Promoting STEM
Professor, Mechanical Design & Mathematics
Room B231, Skokie
koto@oakton.edu
847.635.1268
Gloria Liu
Coordinator & Co-Director, Center for Promoting STEM
Room 2166, Des Plaines
glorial@oakton.edu
847.635.1924
Check out our blog.
Like our Facebook page