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

Address:                                                                                                             

City, State & Zip Code:                                                                                                            

E-mail address:                                                                             Phone:                                         

Major:                                                                         GPA:                                 Masters:                                          

Number of semesters/units already completed at college:                                       

Are you eligible to work in the US?              YES               NO

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

 

   Hispanic/Latino

  Native American
   
      Pacific Islanders       African American
           

 

Please attach the following materials
 1.     Unofficial transcript to confirm good academic standing.

2.     Statement of career objectives:  (No more than one page, 12 pt. Font Helvetica or Times New Roman).

3.     Relevant Graduate research experience (No more than one page, 12 pt. Font (Helvetica or Times New Roman).

4.     Three letters of recommendation (Two letters must be from a science faculty familiar with your academic performance).


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.