2020 E-College STEM Application
We are glad that you are taking the steps to apply for STEM this year! Please carefully read and thoroughly fill out the entire application with your honest responses. If a section does not apply to you, please write or check "N/A."
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Name *
(e.g. John Smith)
Gender *
Date of Birth *
(e.g. January 1, 1993)
MM
/
DD
/
YYYY
Primary E-Mail Address *
Phone Number *
(e.g. 714-772-7777)
Current School & Major *
(e.g. UCI - English Literature)
SRCC Membership Number *
If not available, please indicate N/A.
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