Laney College STEM Core Application
Thank You for your Interest in the STEM Core Program at Laney College . Please allow for 20-30 minutes to complete the entire application.

Our program staff will contact you as soon as your application has been processed.
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First and Last Name
Current Street Address
Email Address
Phone Number
Gender
Date of Birth
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What is your ethnic/racial background?
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Are you a Veteran of The U.S. Armed Forces
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Laney College Student I.D Number? Personal Information is kept Confidential and only shared with College Staff
Highest Level of Education Completed
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If currently attending college, how many community college units will you have completed by the end of summer 2021?
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Will you be enrolled as a Full Time Student at Laney College in Fall 2021?
Will you be eligible for Math 50 in  Fall of 2021
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What is your current cumulative G.P.A?
What is your Intended or Declared Major?
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What Level of Education are you Interested in Attaining?
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How many hours a week do your currently spend at work and/or doing extracurricular activities?
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Why are you interested in a career in STEM? How will your participation in the STEM Core Program help you meet your education and career goals?
How did you hear about the STEM Core Program?
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