Apply to Join

In order to be considered for the ESP Fall 2012 cohort, all applications must be submitted to the Emerging Scholars Program by June 23, 2012. To verify income information, FAFSA documents on file with Financial Aid will be reviewed for the program’s income eligibility requirements. You may be contacted and asked to provide additional financial information.

Participant Personal Information

Your First Name (required)

Your Middle Name or Middle Initial (required)

Your Last Name (required)

Preferred First Name (if different from above)l (required)

Your Email (required)

Student ID Number

Home Address

City, State, and Zip

Phone (Mobile)

Labor Assignment

* Current Student Classification
 First-Year Sophomore Junior Senior

Major / Interests:

Career Plans / Interests:

Background Information

Are you a citizen or national of the U.S.?
Yes No 

Date of Birth

Ethnicity (optional)
Choose all that apply.
 White Hispanic American Indian/Alaskan Native Asian Black or African American Native Hawaiian/Other Pacific Islander Other Prefer Not to answer

Do you have a physical or learning disability?
 Yes No

If you answered Yes above, please specify:
Upon acceptance into ESP, you will be required to provide documentation of your disability

Does your mother have a four year college degree?
 Yes No

Does your father have a four year college degree?
 yes no

Before coming to campus, with whom did you primarily reside?

Were you previously involved in any other TRIO programs (Upward Bound, Upward Bound Math/Science, ETS)?
 yes  no

Programmatic Focus

Why did you choose to apply to the Emerging Scholars Program?

How can the Emerging Scholars Program assist you?

Choose all that apply.
 Advising and Educational Planning Math Writing Academic Reading Study Skills/ Strategies Test-Taking Skills Tutoring Academic Policies Working with Instructors Community Resources Personal Counseling  Major Choice Career Planning Graduate Programs Financial Aid and Scholarship Information Budgeting/Financial Literacy Motivation Other

If you selected "Tutoring" above, please specify.

If you selected "Other" above, please specify.

From the choices selected above, what specific program services do you see as being a priority for you at this time?

Authorization and Agreement Required

Application Certification

I certify that the information on this application is accurate and complete to the best of my knowledge. I hereby authorize the Emerging Scholars Student Support Services Project to obtain any information from my educational records (e.g. transcripts, entrance test scores, grades, instructor contacts, financial information etc.) and to perform staffing activities that may be pertinent to my participation in the project. I also agree that if I am selected to participate in the ESP-SSS project I will work with my Staff person to develop and implement an Individual Educational Action Plan.