2016 UNITE APPLICATION University of Puerto Rico Rio Piedras, … · 2016-02-16 · 2016 UNITE...

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2016 UNITE APPLICATION University of Puerto Rico Rio Piedras, San Juan, Puerto Rico Students that are interested in participating of the UNITE Program (9 th 12 th grade students) must fully complete the application form and submit a copy of your academic record (recent report card, unofficial transcript or official transcript) before April 15, 2016. The application can be submitted by regular mail to: Dr. Peter Feng UNITE Program University of Puerto Rico Department of Physics PO BOX 70377 San Juan, PR 00936-8377 or you may submit the application and a copy of your academic record electronically before April 15, 2016 to: [email protected] To be considered for the UNITE program students must meet two of the criteria listed below: • Student self-identifies as qualifying for free or reduced lunch • Student self-identifies as a minority historically underrepresented in STEM (Alaskan Native, Native American, Black or African American, Hispanic, Native Hawaiian or other Pacific Islander) • English is a second language for the student • Student is a potential first-generation college-bound student (parents did not attend college) • Student attends a rural or frontier school or a school/program selected for Federal-targeted outreach Page 1

Transcript of 2016 UNITE APPLICATION University of Puerto Rico Rio Piedras, … · 2016-02-16 · 2016 UNITE...

Page 1: 2016 UNITE APPLICATION University of Puerto Rico Rio Piedras, … · 2016-02-16 · 2016 UNITE APPLICATION University of Puerto Rico Rio Piedras, San Juan, Puerto Rico Students that

2016 UNITE APPLICATION University of Puerto Rico

Rio Piedras, San Juan, Puerto Rico Students that are interested in participating of the UNITE Program (9th – 12th grade students) must fully complete the application form and submit a copy of your academic record (recent report card, unofficial transcript or official transcript) before April 15, 2016. The application can be submitted by regular mail to: Dr. Peter Feng UNITE Program University of Puerto Rico Department of Physics PO BOX 70377 San Juan, PR 00936-8377or you may submit the application and a copy of your academic record electronically before April 15, 2016 to: [email protected]

To be considered for the UNITE program students must meet two of the criteria listed below:

•Student self-identifies as qualifying for free or reduced lunch •Student self-identifies as a minority historically underrepresented in

STEM (Alaskan Native, Native American, Black or African American, Hispanic, Native Hawaiian or other Pacific Islander)

•English is a second language for the student •Student is a potential first-generation college-bound student (parents

did not attend college) •Student attends a rural or frontier school or a school/program selected

for Federal-targeted outreach

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Application Form

First name:_____________________________________________________

Last name:_____________________________________________________

Sex:___

Email Address:__________________________________________________

Address:_______________________________________________________

City:__________________________________________________________

State/Province: Puerto Rico

ZIP/Postal Code:_____________

Citizenship:_____________________________________________________

Date of Birth:___________

Parent/Legal Guardian Full Name:__________________________________

Parent/Legal Guardian Emergency Phone Number:____________________

Parent/Legal Guardian Email:______________________________________

What is your preferred method of communication?____________________

What is the name of your school?___________________________________

What is the school grade you are currently in?________________________

In what city/town is your school located?____________________________

What is the zip/postal code of your school?__________________________

Provide your cumulative grade point average (GPA) on a 4.0 scale, weighing all courses evenly._______________

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List the high school courses you have completed or are currently taking in the fields of science, technology, engineering, and mathematics (STEM) including, advanced placement courses. For courses that you have completed, provide your final grade. _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

Submit a copy of your academic record. This can be in the form of a recent report card, unofficial transcript, or official transcript.

List the science, technology, engineering, and mathematics (STEM) activities in which you participate. Indicate leadership positions and/or awards received. ______________________________________________________________ ______________________________________________________________

Why do you want to participate in UNITE this summer? (Statement of 200 words or less)_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

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What areas of science, technology, engineering, and mathematics (STEM) are you most interested in? Why? (Statement of 200 words or less)______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

How did you hear about this program? (One or two sentences)

_______________________________________________________________

_______________________________________________________________

Student signature:_______________________________________________

Parent/guardian signature:________________________________________

Date:_______________________

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Additional Information about the UNITE Program:

What is the program about?

This program (mentor: Dr. Jose F. Nieves, Co-mentors: Dr. Carmen A. Pantoja and Dr. Peter Feng) in UPR-RP is supported by DoD Army Research Office.

The UNITE program provides high school students with the opportunity to participate in college-structured summer courses that feature hands-on applications, participation in lectures, problem solving techniques, and tours of private and governmental laboratory and engineering facilities. Students receive classroom instruction in courses such as chemistry, physics, algebra, and calculus. They are introduced to math and science applications and how these applications are applied to real-world situations. The students are also shown how these applications are related to careers in engineering and technology. The UNITE program is designed to support socially and economically disadvantaged high school students. For more information about UNITE, visit http://www.usaeop.com or http://www.jets.org/programs/unite.cfm.

What is the duration of the Program? Around 4 weeks from 30 May to 24 July, 2016.

How do I apply for this program and what are the requirements? See application.

The deadline for application is 15 April 2016. The program committee will have a meeting and then decide to select a total of 20

students. Each selected student will receive a stipend of $400 from this program.

Please contact Dr. Peter Feng ([email protected]) if you have any questions related to this program.

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