CLASP Application
Name *
Your answer
Campus Address
Your answer
Home/Permanent Address
Your answer
Cell Number *
Your answer
Scarletmail Email *
Your answer
Personal/Preferred Email
May be the same as above.
Your answer
RU ID Number *
Your answer
Which college are you enrolled in? *
Major(s)/Minor(s)/Certificate(s) *
Your answer
GPA *
Your answer
Year of Graduation *
Your answer
How would you describe your racial and/or ethnic identity? *
Check all that apply
Required
How would you describe your gender identity? *
Check all that apply
Required
How would you describe your sexual identity? *
On a scale of 1 to 4 , please rate your level of oral proficiency (2-Beginner , 3-Conversational) in Spanish. *
No proficiency
Native or bilingual proficiency
Please indicate any internship site preference you may have: *
Some of the sites can be found on our website at http://iwl.rutgers.edu/programs_claspsites.html
Required
How did you hear about the program? *
(check all that apply)
Required
List any courses relevant to CLASP. These may include courses focusing on social justice, public health, economics or Women's and Gender Studies. *
Your answer
List your experiences relevant to CLASP. For example, this may include experience in teaching or education, healthcare, or literacy training; mentoring, visual, performance or literary arts; working with children; working with at-risk teen; or community service, etc.: *
Your answer
What do you expect to gain through participating in CLASP? *
Your answer
How do you feel about working in a diverse community? How do you adapt to challenging environments and relationships? Please give concrete examples. *
Your answer
Do you anticipate any conflicts with the CLASP Program during Summer Session III (vacation, work, etc.)? *
Your answer
Recommendation Form
List the name, title, AND contact information of the person you wish to fill out the recommendation form. Recommendations from Rutgers faculty/advisers or community leaders are preferred.

It is important that you reach out to a potential reference and let them know that they will be receiving a form via e-mail to fill out.

After providing us with this information, we will reach out to your reference at the e-mail address provided with a form. This electronic recommendation must be filled out by March 22nd.

Reference Name
Your answer
Affiliation/Title
Your answer
Reference Email Address
Your answer
Required Essay
There is one short essay required with this application.

A 500 word essay on the following topic: Write an essay describing a social, political or economic issue that is important to you.

Essay Question *
Your answer
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