University of Minnesota, Rochester Applications and Forms

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# Created User IP address Which application are you applying to? First Name Last Name Gender Address Telephone School Email Personal Email Student ID Expected Year of Graduation 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 Ethinicity Race If you chose Asian, please specify. Citizenship Are you receiving financial aid in this academic year? 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 Year of Graduation Are you a North Star STEM Alliance scholar? (If no, please apply to become a scholar by submitting a scholar application. Only scholars can apply for travel funding.) 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? Are you traveling to this conference as a member of a student organization? If you are traveling to this conference as a part of a student organization, please select the organization below. If you chose other, please indicate which student organization you will be traveling as a member of. 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
8 Tue, 10/04/2022 - 15:04 Anonymous 66.242.85.214 Join LSAMP Alisia Hull Female 1227 W Broadway
Winona, Minnesota. 55987
United States		 5074581850 hull0125@umn.edu alisiahull@gmail.com 5764193 2026 Bachelor of Health Sciences 4.00 Yes No Full-time Not Hispanic nor Latino Asian Southeast Asian US Citizen Yes Yes Social Networking, Undergraduate Research, Leadership Opportunities, Graduate Mentorship, Graduate School Preparation, Professional Development AH Alisia Hull 10/4/22 Alisia Hull 10/4/22
7 Tue, 10/04/2022 - 00:20 Anonymous 207.191.158.162 Join LSAMP Brandon Yang Male 6200 Edgemont Blvd N
Minneapolis, Minnesota. 55428
United States		 8635140072 yang5753@umn.edu brandonvyang2@gmail.com 5384403 2023 Health Sciences 3.76 No Yes North Hennepin Community College Full-time Not Hispanic nor Latino Asian Southeast Asian US Citizen No Yes Social Networking, Undergraduate Research, Leadership Opportunities, Graduate Mentorship, Graduate School Preparation, Study Groups, Professional Development BY Brandon Yang 10/4/2022 Brandon Yang 10/4/2022
6 Wed, 09/28/2022 - 12:07 Anonymous 96.42.91.143 Join LSAMP TEST-2 Ratliff Male qwef
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df, Minnesota. 55904
United States		 3208947347 ratliffj@r.umn.edu jratliffcrain@gmail.com 0000000 2024 BSHS 3.0 No No Full-time Not Hispanic nor Latino Asian Southeast Asian Permanent Resident Yes Yes Social Networking, Undergraduate Research JRC JRC JRC
5 Sat, 09/24/2022 - 15:05 Anonymous 66.188.195.190 Join LSAMP Patricia Hernandez Female 3 13th AVE SW
Rochester, Minnesota. 55902
United States		 (651) 352-5116 hern0324@umn.edu patricia42hernandez@gmail.com 5590246 2023 Health Sciences 3.94 No No Full-time Not Hispanic nor Latino Asian Southeast Asian US Citizen Yes Yes Social Networking, Undergraduate Research, Graduate Mentorship, Graduate School Preparation, Professional Development PH Patricia Hernandez 9/24/22 Patricia Hernandez 9/24/22
4 Mon, 09/19/2022 - 21:44 Anonymous 131.212.249.97 Join LSAMP Jehimi Rodriguez Female 40 Countryside manor
Goodhue, Minnesota. 55027
United States		 6517645050 rodr0879@umn.edu jehimi101@icloud.com 5789373 2026 Nursing 0.000 Yes No Full-time Hispanic or Latino Native American US Citizen Yes Yes Social Networking, Undergraduate Research, Leadership Opportunities, Peer Mentoring, Study Groups JR Jehimi Rodriguez 09/19/2O22 Jehimi Rodriguez 09/19/2022
3 Fri, 09/02/2022 - 13:41 Anonymous 128.101.123.57 Join LSAMP Test Test Female sdf
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sadf, Guam. asdf
Andorra		 asdf linds059@umn.edu linds059@umn.edu afs 2026 Bio 4.8 Yes Yes Lawrence University Full-time Not Hispanic nor Latino Black or African American US Citizen Yes Yes Peer Mentoring test KAL Katherine Lindsay (test) - for Jeffrey A Rafliff-Crain Katherine Lindsay (test) - for Jeffrey A Rafliff-Crain
2 Mon, 08/22/2022 - 15:42 UMTC 131.212.250.165 Join LSAMP John Lennon Female