APPLICANT INFORMATION

Questions with an asterisk (*) indicate that the question is required.

First Name *

Last Name *

Middle Initial

BW Student ID (if known)

Date of Birth *

Current Address *

City *

State *

Zip Code *

Main Phone *

Email *

What is your gender identity? *

Race (Check all that apply)

African American

American Indian / Alaska Native

Asian

Hispanic/Latinx

Native Hawaiian / Other Pacific Islander

White

Are you Hispanic or Latinx?

Do you receive the Pell grant as part of your financial aid? *

Do you plan on living in a University residence hall? *

Will you be a full-time or part-time student at BW? *

Is English your first language? *

Are you an adult student (defined as a student over the age of 23)? *

Do you have any dependents? *

Are you a displaced worker? *

What is your military affiliation?

EDUCATIONAL INFORMATION

Current School *

City, State *

Student Status *

Have either of your parents earned a bachelor’s degree? *

Current GPA *

Note: Majors Eligible for this Choose Ohio First Award are: Computer science (and related majors business information systems, cybersecurity analyst, digital media and design: interactive design, and software engineering).

Intended Major(s) *

Intended Minor(s) *

ACT Composite

SAT Composite

List the four highest Science, Technology, Engineering, Math course/grades you have taken or are enrolled in currently *

Highest MATH course you have taken or are enrolled in currently *

ESSAY QUESTIONS

The essay questions help us learn about you in ways that your educational information alone may not explain. Please use this opportunity to tell us what makes you unique. Both essays are required. The essays should be attached to the section below and should be 300 to 500 words.

1. Discuss what interests you about Computer Science. What initially inspired your interest in this field? What motivates you to pursue this career path? *

2. Why do you want to become a member of the STEM Scholars program? What do you think you will gain from the program and what could you contribute to it? *

NOMINATION INFORMATION

DUE TO COVID19 - We are modifying our application process. We will use the teacher recommendation that was sent with your BW application. However, please provide us with a high school teacher whom you had for a STEM class, that we can follow up with via email if needed.

Nominator

Job Title

School or Organization

Relationship to Applicant

Years known Applicant

Email

SIGNATURE

By signing this document, I acknowledge that I have completed all content in this STEM Application and it is current and accurate.

I have also read and understand that if chosen as a STEM Scholar, I will be required to:

-Participate in the program's coaching, educational, and social activities

-Meet with my STEM Scholars success coach each semester

-Maintain Good Academic Standing and earn a grade point average each semester of 3.0

-Declare an eligible STEM major and enroll in STEM coursework related to my major each semester

Signature of applicant * 🛈

clear