ODASIS Prep Week 2018 August 27th- 31st
Welcome to the ODASIS Prep Week registration! Please complete the following form accurately and provide the correct course that you are registered for so we can place you in the appropriate sessions with no conflicts. Your responses will dictate our outreach and placement efforts.
Last Name *
Your answer
First Name *
Your answer
RUID# *
Your answer
Rutgers email address *
Your answer
Email address (non Rutgers) *
Your answer
Cell Phone # *
Your answer
Net ID *
Your answer
Fall 2018 Science Course (select all that apply) *
Required
If you selected "other" in the previous question, what other science course will you be enrolled in?
Your answer
Racial/Ethnic Self Description (check only one that applies) *
CURRENT College within Rutgers *
Are you a part of the Honors College/program?
If you selected "other" in the previous question, what college are you currently enrolled in?
Your answer
Are you a part of the Educational Opportunity Fund (EOF)? *
If you are a part of EOF, please provide the name and email of your adviser
Your answer
If you are a part of your EOF, please provide the last 4 digits of your Social Security Number (SSN #), if not write N/A
Your answer
Are you a CARR Scholar? *
Are you a Transfer Student? *
Are you a first generation college student? *
Did you participate in the Strategic Plan 5 week summer program with ODASIS? *
What is your current/intended major? *
Your answer
What is your career interest? *
Required
Current Cumulative GPA *
Your answer
Year of Graduation (Estimated) *
Emergency Contact Full Name
Your answer
Emergency Contact Phone Number
Your answer
Emergency Contact Email Address
Your answer
Were you in ODASIS in the Spring or Summer 2018 semester? *
Home Address (Street) *
Your answer
Home Address (City) *
Your answer
Home Address (State) *
Your answer
Home Address (Zip Code) *
Your answer
Where are you living this fall? *
Do you have any other commitments other than courses during the fall semester? *
If you selected "other" in the previous question, please explain
Your answer
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