GOALS Scholar Application 2021
Name (first and last) *
School name *
Current grade *
We want to get to know you! Tell us about yourself. You can include information about your background, interests, and hobbies, a particular challenge you faced, as well as anything else that you feel is important for us to know (250 words or less). Your answer can also include something creative such as a poem, drawing, song, story, photo, or a short video. If you want to do something creative, email it to goals.ucdavis@gmail.com. If you choose to make a video, please include a YouTube link. *
Why do you want to participate in this program? What are you hoping to gain and learn from the experience? (250 words or less) *
Describe your interest in science. Your answer can include something you learned in school or a scientific discovery that you think is important or interesting (150 words or less). *
How will you contribute to the diversity of the team? We are looking to build a diverse team – diverse in terms of ethnicities, cultural backgrounds, hometowns, upbringing, personalities, identities and life experiences. Tell us what makes you unique! (150 words or less) *
I have participated in: (check all that apply) Again, we are looking for people with different levels of experience, so it’s okay if you haven’t done any of these things. *
Required
Technology-wise, will you be able to participate in video calls with the GOALS community? You’ll need a computer or tablet and a reliable internet connection, but if you don’t have those, we can help you out, so don’t worry! *
Which of the following apply to you and your family (please check all that apply)?
Considering your gender identity, please select all that apply:
How would you describe your sexual orientation?
Clear selection
What is your race/ethnicity? Please select all that apply:
What, if any, is your religious identity or affiliation? Please select all that apply:
By submitting this application, I confirm that I’m seriously interested in the program, and all the information I provided is true to the best of my knowledge. Please type your name below to agree. *
I understand that the success of the GOALS team involves working together as a community, and that I am expected to participate with the group. Please type your name below to acknowledge your understanding. *
I understand that GOALS is an opportunity to learn science and leadership skills, but also reflect on my identity and myself as a person, so there may be moments that I feel a little uncomfortable. Please type your name below to acknowledge your understanding. *
Email address: *
Parent or guardian email address: *
Home phone: *
Cell phone: *
Mailing address: *
How did you hear about GOALS?
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