EmailMe Form - BSP Spring 2017 Application

APPLICATION DEADLINE - January 6th, 2017 by noon.

Late and/or paper applications will NOT be accepted.

*You CANNOT save and resume this application. Please be sure to type your essays on a word processor (Word, TextEdit, etc.,) and paste it into the space provided on this electronic form when you are ready to submit the COMPLETE application.

PERSONAL INFORMATION

Full Name *

First Last

SID *

Have you applied previously for BSP? If so, what semester & year did you apply? *

Ex. Spring 2016, Fall 2016

Current Class Standing *

Freshman

Sophomore

Junior

Senior

Permanent Address (this is typically the address you lived at when you applied to Cal or return to when you are not in school, for example your parents' address) *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Number (cell phone) *

### - ### - ####

Alternate Number

### - ### - ####

Berkeley Email Addresss *

Alternate Email Address *

Ethnic Group (please check all that apply) *

Ethnicity (please check all that apply) *

Please indicate the cultural and/or ethnic background that you identify with if you believe the above categories do not accurately represent it or would like to provide more information than captured above.

What is your sex assigned at birth? (Check all that apply) *

Female

Intersex

Male

Other

What is your gender/gender identity? (Check all that apply)

What term best describes your sexual orientation?

Do you come from a low income household? *

Yes

No

Decline to state

Please see the following site if you would like to verify your federal low income status: http://www2.ed.gov/about/offices/list/ope/trio/incomelevels.html

EDUCATION

Please indicate which high school you attended. *

Please enter the School's name, city, and state

High School GPA *

ex. 3.94, 4.00

Transfer GPA

If applicable.

SAT SCORES

If you are a transfer student, simply type 0.

Critical Reading *

Math *

Writing *

Did you transfer from a community college? *

Yes

No

If you did transfer from a Community College, please fill in the school's name, city and state.
(ex. City College of San Francisco, SF. Ca.)

Have you completed John Matsui's course IDS C96 (Studying the Biological Sciences)? *

Yes

No

If yes, please enter the semester/year.

Have you completed John Matsui's course MCB 15 (Current Topics in the Biological Sciences)? *

Yes

Taking it in Spring 2015

No

If yes, please enter the semester/year.

Current UC Berkeley GPA

What is your parent/guardian's highest level of education? *

Please select option which describes the highest degree obtained by one or both of your parent(s)/guardian(s).

Are you an international student (have international student status)? *

Yes

No

Year/Semester Admitted to Berkeley *

Ex. 1999 / Spring

Intended Major *

Ex. Bio Chem, Biology, Psych, McellBio, Math

Career Goal *

Scientist, Doctor, Nursing, Biotech, etc.

Number of hours working per week during the academic year

Ex. 20hrs per week

Please list the courses you are CURRENTLY taking this semester followed by the courses you took at UCB, High School or Community College last semester. *

Please list the science courses you have taken or science-related activities. *

Ex. Chem 1A, MCB 15

How did you learn about this program? You may select more than one option. *

If you were referred by an individual, list the full name and title of the person *

If you were not referred by a person, please indicate "n/a" above. Also, please note that your referral may be contacted.

Referral Email Address (you can only enter one email address)

Please note that your referral may be contacted.

QUESTIONS

Please respond completely and thoughtfully to the following questions, using personal examples whenever possible.

Write your answers in a separate document and then copy and paste them into the boxes so that you will have a copy of your essay submissions after you submit this form.

As a reminder, you CANNOT save and resume this application, so only enter all of the following essay information when you are ready to submit.

1.) Please briefly describe the last science course that you have taken. Did you enjoy your experience in that course? Why or why not? What would you change to make it a better course for yourself and others? *

300 Word Maximum for this passage.

Indicate if you are a member of/participate in: *

2.) Please list any other organizations, activities, or groups that you are involved
in or plan to become involved in while you are at Berkeley and the estimated time
commitment (hrs/wk) for each. *

200 Word Maximum for this passage.

3.) What aspects of BSP appeal to you that are not achieved by your involvement in other organizations or groups? Please include in your answer what you hope to get from being a member of the BSP community and what you hope to contribute.
How would you balance participation in BSP with your other activities? *

300 Word Maximum for this passage.

4.) Briefly describe a struggle or obstacle you overcame in your life. What personal skills and strengths did you use in that situation? Who in your life is aware of these skills and strengths and how would they say they know this about you? How would you use your skills and strengths to succeed in the sciences at Berkeley and to help others in BSP succeed? *

400 Word Maximum for this passage.

5.) What is your personal connection to science? How do you anticipate using your scientific education from Berkeley in your future? *

250 Word Maximum for this passage.

6.) On a scale from 0 to 10...

To what extent do you intend to pursue a science related career? *

7.) On a scale from 0 to 10…

How likely is it that you will pursue a Master’s degree in a science field? *

8.) On a scale from 0 to 10…

How likely is it that you will pursue a Doctoral degree in a science field? *

The following questions ask how you think about yourself and your science identity. Please select the best answer on the scale from 1 (strongly disagree) to 7 (strongly agree).

9.) I have a strong sense of belonging to the community of Scientists. *

10.) I derive great personal satisfaction from working on a Science team that is doing important work. *

11.) I have come to think of myself as a Scientist. *

12.) I feel like I belong in the field of Science. *

13.) The daily work of a Scientist is appealing to me. *

NOTICE OF MINIMUM MEMBERSHIP REQUIREMENTS -

One of the biggest strengths of BSP is the active participation of its members in support of each other’s success. Some specific minimum membership requirements are listed below, but they just represent a baseline of participation. We require that all applicants review the following expectations of membership before submitting their application.

Minimum BSP Member Requirements:

1. Attend the All Student Meeting (1/2 day on a Saturday) at the beginning of every Fall and Spring Semester.

2. Meet with an advisor at least once per semester in their first year in BSP and at least once a year after that.

3. Attend at least the first session of each BSP study group in which they are enrolled in the corresponding class.

4. Complete John Matsui’s Fall 1-unit course, IB C96, and Spring 2-unit course, MCB 15, within their first two years of BSP membership.

5. Help clean and maintain the student room during use and when selected randomly for a group clean-up.

6. Follow all rules regarding the protection and maintenance of BSP resources and facilities.

7. Promptly respond to any communications and surveys from BSP staff during their undergraduate years and after graduation from Cal.

I have read the BSP Minimum Member Requirements and I understand that by checking the following box I am applying to this program with knowledge of the minimum commitment required of membership. Additionally, by checking the following box I am confirming that I have the time required of this commitment. *

I confirm that I have read the member requirements and have the time to commit to BSP.

RELEASE OF INFORMATION -
I hereby confirm and certify that all of the information above is accurate and truthful to the best of my knowledge and written and submitted by me, the undersigned. I release this information to the Biology Scholars Program and its staff for the purposes of evaluating my application. I understand that the Biology Scholars Program continually monitors and advises the program participants up to and after graduation from UC Berkeley. It is therefore necessary to obtain data on each participant’s academic performance and other participant progress (e.g. application and/or acceptance to professional and graduate programs, etc.). I further understand that the Biology Scholars Program may use the demographic and academic performance information to compile statistical data about its participants for the purpose of evaluating and disseminating the program to its funders and/or the public. My electronic signature below indicates my consent for the use and release of my information for these purposes. Confidentiality will be strictly maintained (Student Rights under the Family Privacy Act of 1974, as amended).

Electronic Signature *

By typing my name, I understand this will be considered my electronic signature and I certify that information contained in this application is true and complete. I authorize the verification of any or all information listed above.

Date *

MM / DD / YYYY