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ABOUT
ORGANIZATIONS
Student Organizations Overview
National Society of Black Engineers
Society of Hispanic Professional Engineers
Society of Women Engineers
PROGRAMS
Programs Overview
Summer Bridge
Chevron CREATE Transfer Program
Peer Mentoring
LSMAMP
BCoE Tutoring Services
NEWS
News
BCoE Inclusive Excellence Newsroom
MEDIA
BCoE Photos
Videos
BCoE Logo & Visual Identity Standards
SPONSORS
CONTACT US
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Test3
Test3
Fields marked with an
*
are required
Part I: Personal Information
First Name
*
Preferred Name
Middle Name
Last Name
*
Address
*
Address
City
*
US States
*
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
West Virginia
Wisconsin
Wyoming
Washington DC
ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST
ARMED FORCES AMERICA (EXCEPT CANADA)
ARMED FORCES PACIFIC
Zip
*
Home Phone
*
Cell Phone
Email
*
T-Shirt Size
*
Small
Medium
Large
X-Large
XX-Large
XXX-Large
Gender
*
Female
Male
Date of Birth
*
Are you a U.S. citizen?
*
Yes
No
Physical or learning disability?
*
Yes
No
Are you interested in interning/co-oping with Chevron in the future?
*
Yes
No
Ethnicity
*
Black / African American
Hispanic / Latin X
American Native
Pacific Islander
Caucasian
Multi
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Part II: Academic Information
Community College Attended
*
Community College Address
*
City
*
US States
*
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
West Virginia
Wisconsin
Wyoming
Washington DC
ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST
ARMED FORCES AMERICA (EXCEPT CANADA)
ARMED FORCES PACIFIC
Zip
*
Community College Rank
*
Community College GPA (unweighted)
*
Engineering Major
*
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Part III: Background Information
List Scholarships, Awards, and Honors
List Leadership Positions Held
List Extra Curricular Activities
List Volunteer Efforts and Part-time Employment
Divider
Part IV: Student Plans, Goals, and Interests
Please provide a complete response for each question below.
Have you ever participated in a science or engineering activity sponsored by the Bagley College of Engineering? If so, explain.
*
Why should you be considered as a candidate for the Chevron Transfer / STEM Summer Bridge Program?
*
What skills/abilities do you have that will help you succeed in your major and what are some critical areas in which you need or desire improvement?
*
Describe a meaningful academic class, project or other experience.
*
Share one challenge you have had to overcome and explain how.
*
What are your hobbies and interests?
*
Does your community college record accurately reflect your effort and ability? If you could do one thing in community college differently, what would it be?
*
What are your long-term career goals?
*
Tell us about your family.
*
Why do you want to major in engineering?
*
If you are a human seeing this field, please leave it empty.
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