2021 Gary SSD Application Form - Chicago STEM Pathways Cooperative

2021 Gary STEM Signing Day Application

Deadline is April 9

The 2021 STEM Signing Day application has four categories:

Personal Story, Academic/After-School Experience, Career Interest, and a Bonus Question.

Applicants should take the time to review the questions and prepare a well developed response. Please take advantage of the word count limits.

As part of the application, please sign and upload your completed Media Release Waiver.

A PDF of the application is available here for you to review and prepare your responses.

Only submissions through this online application will be considered.

Applicant Profile

First Name

Personal Email

Address 1

Address 2

Zipcode

Gender

Ethnicity

School

Do you identify with any of the following groups?

Minorities

Females

People with disabilities

LGBTQ

Were you nominated by a member of your school or after school program?

Last Name

School Email

City

State

Personal Story

Please write a short autobiography including information about your personal life, your family, community involvement, and your interests.

<<1750 maximum character count/250 words>>

Please describe what you hope to do in the future.

<<1750 maximum character count/250 words>>

State any special personal or family circumstances affecting your need for financial assistance.

<<1750 maximum character count/250 words>>

Are you the first in your family to attend college?

Academic/After School Experience

Please choose one of the two prompts to respond to.

Prompt 1: Have you participated in a class or out of school program, activity that inspired your interests in STEM? Describe this class or out of school program and explain how and why it inspired your interest in STEM.

Prompt 2: Do you have a role model who inspired your STEM interest? Have you participated in an out of school program that inspired your interests? Describe the impact the role model had, the out of school program and how it inspired your interests in STEM.

Response

«1450 maximum character count/200 words»

Career Interest

What is your career interest? What STEM related field do you intend on pursuing? How does it connect to your career interest?

«1450 maximum character count/200 words»

What college have you chosen to attend beginning Summer 2021 or Fall 2021?

«Word Count Limit 50»

If you are undecided, please explain. (Optional)

«Word Count Limit 50»

Media Release Waiver available here.

Bonus Question

How will you make a difference in our world?

«1450 maximum character count/200 words»

2021 Gary STEM Signing Day Application Deadline is April 9

Applicant Profile

Personal Story

Academic/After School Experience

Career Interest

Bonus Question

2021 Gary STEM Signing Day Application

Deadline is April 9