Century College Applications and Forms

Which application are you applying to?

Student Information

Gender
Address

Join Century College LS-NSSA

Major or Intended Major
Please report to two decimal places.
Are you a first-generation student? (First-generation defined as a student where neither parents/guardians have completed a 4-year college/university degree)
Are you a student who transferred?
Enrollment Status
Ethnicity
Race
Select all that apply.
If you chose Asian, please specify.
Includes: Brunei, Burma (Myanmar), Cambodia, Timor-Leste, Indonesia, Laos, Malaysia, the Philippines, Singapore, Thailand, and Vietnam
Citizenship
Have you completed a Free Application for Federal Student Aid (FAFSA) for this academic year?
Programs of Interest offered by the North Star STEM Alliance
I grant that my institution or the University of Minnesota may use excerpts of my reflections on participation in the Alliance programs in reports or promotional materials. I also grant that my institution or the University of Minnesota may use excerpts of my reflections on participation in the Alliance programs in reports or promotional materials. Lastly, the only identifying information associated with such excerpts may be class standing, major and institution.
 
The information you submit on this form will be used by college/university officials and other Alliance administrators to evaluate your eligibility to become a scholar or peer mentor, evaluate program effectiveness, and report data to the National Science Foundation (NSF) for evaluation of overall program effectiveness. Please be assured that gender, race, ethnicity and disability status information will not affect your eligibility to become a scholar or peer mentor, but the NSF requires the collection of this information as a condition of program funding. As a scholar and/or peer mentor, information about your participation in program events will also be provided to the NSF at the end of the year, which is a prerequisite for you to be eligible for a stipend. If you wish to claim a stipend for your participation in the program, you will be required to submit your Social Security Number to a financial representative at your institution, in order to process the payment. Please contact your site coordinator if you have questions about the application process or information handling. By submitting this application, I certify that this information is complete and correct to the best of my knowledge. If I am accepted, I understand and agree to fully participate in activities sponsored by the North Star STEM Alliance. I understand that financial assistance is only awarded to students who are accepted and who meet the National Science Foundation-LSAMP eligibility requirements.
 
I hereby expressly grant that my institution or the University of Minnesota, lead institution of the North Star STEM Alliance, the right to make, use, and/or publish information, photographs, or any other reproduction of my physical likeness for various communication efforts such as pamphlets, booklets, video tapes, audiotapes, slide shows or internet sites. In addition, I expressly grant this right to be used for educational, marketing, and/or promotional purposes.

Student Reflection

Travel Reflections Only


All Submissions


Approximately 450-750 words.

Travel

Have you submitted a scholar application with the North Star STEM Alliance?
Do you have other sources of funding?
Is your travel experience affiliated with any of the following?
Professional conference:
Please explain in 75-100 words.
I understand that if I do not complete my commitment, my student account may be charged for expenses covered by the North Star STEM Alliance.
The information you submit on this form will be used by college/university officials and other Alliance administrators to evaluate your eligibility to become a scholar or peer mentor, evaluate program effectiveness, and report data to the National Science Foundation (NSF) for evaluation of overall program effectiveness. Please be assured that gender, race, ethnicity and disability status information will not affect your eligibility to become a scholar or peer mentor, but the NSF requires the collection of this information as a condition of program funding. By submitting this application, I certify that this information is complete and correct to the best of my knowledge. If I am accepted, I understand and agree to fully participate in activities sponsored by the North Star STEM Alliance. I understand that financial assistance is only awarded to students who are accepted and who meet the National Science Foundation-LSAMP eligibility requirements.