California State University San Marcos
Research Initiative for Scientific Enhancement
(RISE) Program
Student Application Form
 
Name:                                                             Social Sec. #:                                            DOB                                    

Address:                                                                                                             

City, State & Zip Code:                                                                                                            

E-mail address:                                                                             Phone:                                         

Number of semesters/units already completed at college:                GPA:                Major:                                          

High school and city where you graduated:                                                                                                      

Community college (and city) attended:                                                                                                                      

Are you eligible to work in the US?              YES               NO

Are you a citizen, a non-citizen national or permanent resident?*             YES               NO

Where did you hear about the RISE Program?                                                                                                           

Please check the box that best describes your race or ethnicity (optional):
 

 

   Hispanic/Latino

  Native American
   
      Pacific Islanders       African American
           

Please attach the following materials: 
1.   Unofficial transcripts to confirm good academic standing.
2.   Personal statement, including career aspirations (No more than 2 double space pages).
3.   Two letters of recommendation.  At least one letter must address your strength as an applicant for this program; at least one letter must be from a science teacher.

To the best of my knowledge, the information I am supplying is accurate.

                                                                                                                                        
Printed Name                                      Signature                                       Date
 

* If accepted to the program you will be required to submit proof of your legal right to work in the United States.  In addition, the RISE program requires that participating students be either citizens, a non-citizen national or permanent resident.  If you do not meet these classifications, you will be unable to participate in the program.