Application Process Online Application Form

If you see this don't fill out this input box.

*Last Name:

*First Name:

Middle Name:

*Preferred Name:

*Student Email Address:

*Phone:

*Home Address:

Apt. #:

*City:

*State:

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*Zip Code:

When considering the parent you live with currently, does that parent hold a bachelor’s degree?

Yes

No

*All students wanting to be considered for an Eagle STEM Scholarship must complete a FAFSA. When you completed your FAFSA, what was the Student Aid Index (SAI)?

*Please list the 5 most advanced science and math courses you have taken or are currently taking:

*Discuss your academic and career goals. Where do you envision yourself in the future? Do you expect to earn an advanced degree? Please give details.

*List and describe 3 to 5 of your scholarly/academic achievements. This could include honors, awards, academic clubs, research, publication, poster presentation, conference presentation, etc.

*List three extracurricular activities you are involved in and describe your involvement, including how you balanced these activities with your academic requirements. This could include volunteering, extracurricular clubs, community service, etc.

Eagle STEM strongly encourages all incoming freshmen to attend a 6 week summer bridge program on campus. Are you willing to commit to attending this program?

Yes

No

*How did you hear about our program?

Please Select Website Guidance Counselor Letter from Winthrop Other

If other, please explain:

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