Application Process Online Application Form

* Please enter your last name. Last Name:

* Please enter your first name. First Name:

* Please enter your middle name. Middle Name:

* Please enter your preferred name. Preferred Name:

* Please enter your student email address. Student Email Address:

* Please enter your phone number. Phone:

* Please enter your home address. Home Address:

Apt. #:

* Please enter your city. City:

* Please select a state. State: Please Select: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming

* Please enter your zip code. Zip Code:

* Please enter if when considering the parent you live with currently, does that parent hold a bachelor's degree? When considering the parent you live with currently, does that parent hold a bachelor's degree? Yes No

* Please enter what was the expected family contribution (EFC) when you completed your FAFSA? All students wanting to be considered for an Eagle STEM Scholarship must complete a FAFSA. When you completed your FAFSA, what was the expected family contribution (EFC)?

* Please enter your scores from the SAT/ACT. Do you have scores from the SAT/ACT? If so, what was the math portion of the score?

* Please list the 5 most advanced science and math courses you have taken or are currently taking. Please list the 5 most advanced science and math courses you have taken or are currently taking:

* Please discuss your academic and career goals. Where do you envision yourself in the future? Do you expect to earn an advanced degree? Please give details. Discuss your academic and career goals. Where do you envision yourself in the future? Do you expect to earn an advanced degree? Please give details:

* Please list and describe 3 to 5 of your scholarly/academic achievements. This could include honors, awards, academic clubs, research, publication, poster presentation, conference presentation, etc. List and describe 3 to 5 of your scholarly/academic achievements. This could include honors, awards, academic clubs, research, publication, poster presentation, conference presentation, etc.:

* Please list three extracurricular activities you are involved in and describe your involvement, including how you balanced these activities with your academic requirements. This could include volunteering, extracurricular clubs, community service, etc. List three extracurricular activities you are involved in and describe your involvement, including how you balanced these activities with your academic requirements. This could include volunteering, extracurricular clubs, community service, etc.:

* Please enter if are you willing to commit to attending this program. Eagle STEM strongly encourages all incoming freshmen to attend a 6 week summer bridge program on campus. Are you willing to commit to attending this program? Yes No

* Please enter how you heard about our program. How did you hear about our program? Please Select: Website Guidance Counselor Letter from Winthrop Other

If other, please explain:

Upload your headshot: NOTE: Your submitted file must be a .JPG or .JPEG ONLY and must be less than 4MB.  * * Please enter a file to send.