ECU STEP-Bridge Undergraduate Research

Program Application

ETHNICITY



ARE YOU A FIRST GENERATION COLLEGE STUDENT?
(Neither Parent Graduated from College):           
RESIDENT STATUS

                              



PERSONAL INFORMATION

SEX           
HOME ADDRESS

      


ACADEMIC INFORMATION

      

By submitting this document, I hereby authorize the East Central University STEP-Bridge Program to receive copies of my high school transcripts and other educational records upon request to determine eligibility for Program participation and for tracking of student participants as required by the National Science Foundation.

THE ABOVE INFORMATION IS ACCURATE AND CORRECT TO THE BEST OF MY KNOWLEDGE.