Summer 2023 Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

DUE ON APRIL 14, 2023

The Supply Chain Experience (SCE) is a service learning course that supports the life sciences industry by providing students with work readiness and lab‐based training resulting in employable individuals with in‐demand skills. SCE will lay career-building groundwork by conducting student resume workshops, career awareness and hands-on experience.

What: BIOL 277L Service Learning, 1 unit course
When: May 30 - June 9, 2023 (weekdays) from 9:00AM - 3:00PM
Where: Zoom (week 1) and Miramar College (Week 2)

$1000 SCHOLARSHIP REQUIREMENTS
- Must commit to and complete 50 hours of BIOL 277L (SCE)
- Must enroll in fall 2023 OR complete certificate/degree/transfer to four-year university
- Must be interested in pursuing a job in the sciences

- Must have SDCCD CSID

All are welcome to apply. Grant expectations will guide selection. California College Promise Grant (CCPG) recipients, underrepresented students of color, female students, students with disabilities, first generation college students, English learners, unemployed individuals, homeless individuals, single parents, and youth who are in, or have aged out of, the foster care system are encouraged to apply.

Email *

First Name *

Last Name *

CSID *

What is your San Diego Community College Student ID#? This is required for participation in SCE.

Home College *

Which college do you consider your home college?

San Diego Miramar College

San Diego Mesa College

San Diego City College

Major *

What is your science major or area of interest?

Education Plans *

What is your current educational goal?

Certificate of Achievement

AS Degree

Transfer to 4-year university

Graduate School

Other:

California Residency *

Are you registered with the college as a California Resident?

Yes

Phone number *

Zip Code *

Date of Birth *

YYYY

Gender *

Please select the gender with which you most identify

Male

Female

Non-binary

Additional genders

Decline to state

Race/Ethnicity *

Please select the race/ethnicity(ies) with which you identify (select all that apply)

American Indian or Alaska Native

Asian

Black or African American

Latinx or Hispanic

Native Hawaiian or other Pacific Islander

White or Caucasian

Decline to state

Required

CA Promise *

Do you receive the California College Promise Grant (CCPG)? If you do not currently receive the CCPG fee waiver, complete the 2023‐24 FAFSA online at fafsa.ed.gov to find out if you are eligible. PLEASE INCLUDE MIRAMAR COLLEGE AS ONE OF THE COLLEGES YOU ATTEND - school code 014172.

Yes

FAFSA in Process

First Generation *

Are you first in your family to attend college?

Yes

Decline to state

Student with Disabilities *

Are you a student with disabilities?

Yes

Decline to state

English Learner *

Are you an English learner?

Yes

Decline to state

Single Parent *

Are you a single parent or a single pregnant woman?

Yes

Decline to state

Housing *

Are you currently without housing?

Yes

Decline to state

Foster System *

Are you in, or have aged out of, the foster care system?

Yes

Decline to state

Employment *

What is your current employment status?

Employed full-time in science-related field of study

Employed part-time in science-related field of study

Current internship in science-related field of study

Employed in unrelated field

Student, not working

Unemployed, looking for work

Military Status *

What is your U.S. military status?

Active Duty U.S. armed forces

National Guard or Reserves

Military veteran

Working for the military as a civilian

Child dependent of a member of the U.S. armed forces

Child dependent of a member of the National Guard or Reserves

Child dependent of a U.S military veteran

Child dependent of individual working for the military as a civilian

Spouse of a member of the U.S. armed forces

Spouse of a member of the National Guard or Reserves

Spouse of a U.S military veteran

Spouse of individual working for the military as a civilian

N/A

Decline to state

Completed Course(s) *

Which course(s) will you have successfully completed by the end of the spring 2023 semester? Select all that apply.

BIOL 131

BIOL 132

BIOL 133

BIOL 136

None of the above

Required

How important were the following factors in deciding to apply for this experience? *

Please rate the following with 1 being not at all important and 5 being extremely important

Receive hands-on training

Gain work experience to build resume

Gain job searching skills

Learn more about biotech

How did you hear about this program? *

Biotech class

Other science class

Professor

Social Media

Flyer

Financial Aid Office

MESA program at City College

Friend/Family

Counselor

Other:

Application Certification *

I understand that if I am accepted to the SCE Scholarship Program, I will need to commit to 50 hours of SCE from May 30-June 9 and to enrolling at Miramar, Mesa or SD City in fall 2023 if I have not completed a certificate/degree or transferred to a four-year university. I certify that I am interested in pursuing a job in the sciences and that all the information provided in this application is complete and true.

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms