Leech Lake Tribal College Applications and Forms

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# Created User IP address Which application are you applying to? First Name Last Name Middle Initial Gender Address Telephone School Email Personal Email Student ID Expected Year of Graduation Major or Intended Major If you chose Other or Not Listed above, please indicate your current major or intended major. GPA 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? If you are a transfer student, where did you transfer from? Enrollment Status Ethnicity Race If you chose Asian, please specify. 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 If you chose Other, please list what other programs of interest you are seeking. Release Statement How this information will be used. Authorization for Photography Event Title Event Dates Event Location Organization Reflections I grant that the North Star STEM Alliance may use excerpts of my reflections in reports or promotional materials; the only identifying information associated with such excerpts may be class standing, major, and institution By submitting this reflection, I certify that this information is complete and correct to the best of my knowledge Expected Graduation Year Have you submitted a scholar application with the North Star STEM Alliance? Event, program, or conference name Event Location Dates of Travel Airfare Hotel Registration Other Costs Total Amount Requested Do you have other sources of funding? Please list sources and amounts Is your travel experience affiliated with any of the following? Professional conference: What will you accomplish? How does it advance your academic career? If you accept travel support from the North Star STEM Alliance you are required to commit to at least 5 hours of service and outreach once you return. 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. How this information will be used. Operations
1 Mon, 06/28/2021 - 15:53 volna007 162.158.212.209 Travel Hoseok Jung Male 130612
Seoul, Minnesota. 00004
United States		 +11111111111 test@umn.edu test@umn.edu 0000007 test No test test test test test test test test No Involves research Attendee test Yes j-hope j-hope test