Name First Last Email* Home PhoneCell PhoneWhat level of math do you intend to take at BC in Fall Quarter?Math 76Math 098Math 099Math 141Math 142Math 151Math 152Math 152 or higherWhat level of English do you intend to take this year at BC?Select ...ENGL 092ENGL 093ENGL 101OtherWhich of these describe you?*Please select all that apply Running Start (RS) College in the High School (CHS) Career Education Options (CEO) Language Integration Program (LIP) International High School Completion Program at Bellevue College Transfer Student Bellevue College Bachelor Student I identify as:* Female Male Other I identify as:* Asian Pacific Islander American Indian, Alaska Native, Indigenous, or First Nations White or European American Black or African American Latinx or Hispanic Multiracial or Bi-Racial Prefer not to answer Are you a veteran? Yes No How did you hear about STEM to Stern program?*WebsiteHigh School AdvisorBellevue College AdvisorFriendRecruitment CallBanner on Bellevue College homepageInformation sessionOtherPlease write one to two paragraphs on each of the following questions: What is your intended major and/or desired career? How did you become interested in this subject and/or career field? Why are you interested in participating in the STEM to Stern program at Bellevue College? Please write one to two paragraphs on each of the above questions:*Participation Agreement and Signature:If selected to participate in the STEM to Stern program, I understand that I will be committed to register for the corresponding 2-credit course during Fall, Winter and Spring quarters. This class will meet on Wednesdays from 2:30 to 4:20 p.m. for all three quarters. YES, I agree NameThis field is for validation purposes and should be left unchanged. Last Updated November 5, 2018
