| Contact
Information |
| 1.
First Name:
Last Name:
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| 2.
Oakton ID or SSN:
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| 3.
Permanent Email:
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| 4.
Phone:
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5. Street Address:
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| |
City:
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| |
Zip
Code:
|
 |
| Eligibility |
| 6.
Citizenship:
U.S. Citizen
Permanent Resident
Other |
| 7.
My Academic Interest is: |
|
Science |
Business |
Technology |
Mathematics |
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|
Education |
Engineering |
Nursing |
Law |
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Undecided |
Other (please specify):
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8. I am considering the following career(s):
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| 9.
Please tell us what you would like to discuss with
your mentor:
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| 10.
List the
science, technology, engineering, or math (STEM) courses
you are taking in this semester:
|
| 11.
List the
science, technology, engineering, or math (STEM) courses
you took in previous semesters:
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| 12.
When do you plan to transfer?
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| 13.
What do you plan to major after transferring?
|
 |
| By
submitting this form, I understand that in order to
receive the NSF-Oakton Fellowship, I must successfully
complete the program by May
21, 2009. The requirements for SEP and
SMP include: |
- meeting
my mentor six times,
- participating
in four activities from a Center for Promoting
STEM approved list, and
- passing
all enrolled courses.
Additional
SEP requirement is:
- Enrolling
in one of the following
- Introduction
to Life Science - 10143 - BIO 101 - 004
- Algebraic
Foundations and Elementary Algebra - 12272
- MAT 051 - 005
- Intermediate
Algebra - 11631 - MAT 120 - 009
- Composition
I - 11613 - EGL 101 - 024 and an upper
level STEM course
- Composition
II - 11229 - EGL 102 - 011 and an upper
level STEM course
-
Intro to Psychology - 11982 - PSY 101 - 011
Additional
SMP requirement is:
- Enrolling
in an upper level STEM course
|
| Verify
that you will attend the All Students Gathering on
Jan. 28, 2009 from 3 - 4:30pm
in Room 1604, Des Plaines and
April 29, 2009 from 3 - 4:30pm in Room 1610, Des Plaines. |
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. |
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|
|
Please contact Gloria Liu (847-635-1738 or glorial@oakton.edu)
if you have any questions. |
