IOA-LSAMP Application NMC

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The Northern Marianas College Hatsa STEM Scholars Program is a learning community committed to helping Pacific Islanders, specifically the indigenous Chamorros and Carolinians of the Marianas, succeed in science, technology, engineering, and mathematics.

Email *

Email address *

First Name *

Last Name *

Student ID Number *

What is your major? *

Personal Email Address *

Phone Number *

Approximate GPA *

Citizenship (Must be US Citizen or Permanent Resident to be eligible) * Mark only one. *

US Citizen

Non US Citizen or Permanent Resident

Choose not to answer

Gender (Mark only one) *

Male

Female

Prefer not to answer

Other:

Ethnicity (Mark only one) *

Hispanic or Latino

Not Hispanic or Latino

Prefer not to answer

Race (Select all that apply) *

Black or African America

Native American

Alaska Native

Native Hawaiian or Other Pacific Islander

Asian

White

Prefer not to answer

Other

Disability Status (Mark only one) *

Deaf or serious difficulty hearing

Blind or serious difficulty seeing even when wearing glasses

Serious difficulty walking or climbing stairs

Other serious disability related to a physical, mental, or emotional condition

Prefer not to answer

Are you interested in working on STEM research? (Mark only one) *

Yes

Maybe

If you are interested in working on STEM research, and you already have a faculty member who has agreed to serve as your research mentor, then list their name and project. *

Class (Mark only one) *

Freshman

Sophomore

Junior

Senior

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