MCC S-STEM Scholarship Application Form
This is the form for students who are Engineering and Computer Science majors to apply for the MCC S-STEM Scholarship. This scholarship represents a partnership between Mesa Community College and Arizona State University and is funded by a grant through the National Science Foundation.

In order to qualify for an MCC S-STEM Scholarship, you must satisfy the following criteria:
- Financial Need as established by a FAFSA
- Be a US Citizen, Permanent Resident, or Aliens admitted as Refugees
- Declared Major in Engineering or Computer Science
- Be enrolled in MAT 150 or higher (or completed College Algebra or higher)
- Have a minimum 3.0 overall GPA

If you are selected to receive one of the MCC S-STEM Scholarships, you will be expected to complete the following activities over the course of the semester:
Four Engineering Academic Success & Professional Development Activities:
- Guaranteed 4.0 and Time Management Activity
- Career Plan Activity
- Interest Paper Activity
- Statement of Purpose Activity

Three S-STEM related surveys:
- ENG ASAP Scholars Information Form
- Career-Shaping Interest Paper Survey
- Student Seeking Mentor Survey

Remember that you must send an unofficial transcript to john.griffith@mesacc.edu by 12:00 PM on Friday, August 23 in order to be considered for this scholarship. A printed transcript may be dropped off at the Physical Science Department Office on the second floor of the Physical Science Building on campus.

IMPORTANT: Your application is not complete until after MCC has received your FAFSA information. If you have not already had FAFSA information sent to MCC for this semester, please go to https://fafsa.gov , create and log into your account, complete the information on the FASFA, and select MCC to receive your information. It can take a week or so for FAFSA information to arrive at the College once you have submitted the FAFSA. Please take this time delay into account, as your application cannot be considered until your financial need is set as determined by your completed FAFSA.

Student Name (Last, First, Middle Initial): *
Your answer
Student ID Number: (Please note that this ID is a number only and is not your MEID) *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Date of Birth: *
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DD
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YYYY
Home Phone Number: *
Your answer
Email Address: (Please double check that your email address is correct as all correspondence regarding this scholarship will be sent to this email address. Your Maricopa email address is preferred.) *
Your answer
Cell Phone Number: *
Your answer
Cumulative GPA: *
Your answer
Grade Level *
Which of the following best describes you? *
Will you be enrolled for at least 12 credit hours at MCC for the Fall 2019 Semester *
Which of the following describes you? *
What is your major? If listing Engineering, please also indicate which field (Mechanical, Electrical, etc.) *
Your answer
To which university are you planning to transfer? *
Your answer
If you receive this scholarship, how many hours per week will you spend working at a job? *
Your answer
How many hours per week will you spend working at a job if you do not receive this scholarship? *
Your answer
Do you have a mentor at MCC? If you answer yes, please also indicate the person serving as your mentor. If you answer no, please also list any attributes you would like your mentor to have. *
Your answer
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