2019-2020 ACC LSAMP Scholar Application

2019-2020 ACC LSAMP Scholar Application
LSAMP- Metro Denver STEM Alliance

The Metro Denver STEM Alliance serves underrepresented minority students interested in STEM fields through advising, mentorship, campus resources, college and industry visits, research opportunities, internships, and transfer guidance. Our goal is to serve as a resource to help you to and through college to achieve your academic and career goals.

Student Information
Name *

First Name Last Name
Student S# *
ACC Student Email *
example@student.cccs.edu
Personal Email *
example@example.com
Phone Number *

Area Code Phone Number
What ethnicity do you identify with? Choose all that apply. *

Black/African American Hispanic/Latinx Pacific Islander, Native Hawaiian Middle Eastern, North African Indigenous, Native American, Native Alaskan
Are you a first generation college student (Your parents did not graduate from a 2 year or 4 year college) *

Yes No

Academic Information
Disability identified with ACC:

Yes No Prefer not to answer
Fall 2019 and Spring 2020 enrollment status? *

Full time (12 credit hours or more) Part time (11 credit hours or less
Associate Degree desired *

Associate of Science Associate of Applied Science Associate of Arts Certificate
Your Associate Degree Major *
ex. Biology
Date of anticipated graduation from ACC *
ex. Spring 2021
What you want to study at a four-year university *
ex. Biology, Engineering, etc
Name of 4 year college you would like to transfer to *
ex. CU Boulder
Anticipated semester of transfer *
ex. Fall 2020

About You
Are you interested in research opportunities? *

Yes No
Are you interested in internship opportunities? *

Yes No
Are you currently employed while attending school? *
If yes, please list number of hours/week that you work
What obligations do you have outside of school: work, family, etc *
What STEM field would you like to work in? *
List any challenges you face related to college and in your classes: *

Tell Us About Your Goals
When it comes to earning your degree, transferring to a 4 year college or starting your career, what kinds of resources or experiences would help you achieve your goals? *
Thank you for applying to be an LSAMP Scholar!

We will reach out to you within 5 business days to discuss your application and schedule your first meeting with a STEM Navigator. If you have any questions, please contact:

Julie Bruce

LSAMP STEM Navigator

Arapahoe Community College

5900 S. Santa Fe Drive

Littleton, CO

303.797.5904

julie.bruce@arapahoe.edu
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Student Information