Continuing Application

Cal State LA Louis Stokes Alliance for Minority Participation Program 
Funded by the National Science Foundation (NSF) and CSU Chancellor's Office (CO)


LSAMP Undergraduate INFORMATION UPDATE FORM  FOR CONTINUING PARTICIPANTS ONLY. Each year you remain an undergraduate student enrolled in a STEM (Science, Technology, Engineering, or Mathematics) major and continue to work on your first bachelor’s degree, we will request that you complete an updated information form. APPLICATION FOR CONTINUING LSAMP STUDENTS for 2023-2024. Please note that it is your responsibility to notify us immediately if any of this information changes.

Funding for the CSU-LSAMP Program is provided by the National Science Foundation, HRD-1826490 & the California State University’s Office of the Chancellor. The Cal State LA program is also supported by the colleges of NSS and ECST and the University.

Name
Gender
Mailing Address
Will you be graduating this upcoming year?
If yes, are you applying to graduate school (Master or PhD programs only for Fall 2024 start date)?
If yes, also indicate where, which degree (MS or PhD) & what major? Students accepted to graduate school are eligible for increased incentives.
MS or PhD
During the past year (Sept. 1, 2022 through Aug. 31, 2023) were you doing research or an internship with anyone?
If yes, indicate where specifically it was done, with whom, when - specific dates or semesters, and provide brief description of what you did. Students engaged in research or have internships are eligible for increased incentives depending on specific activity and verification of activity.
If you are graduating in F2023, SPR2024, or SU2024, are you applying to professional school medical, dental, pharmacy, etc. programs for Fall 2024 start date)?
If yes, also indicate where and which degree program.
If you are graduating in F2023, SPR2024, or SU2024, are you applying for teaching positions?
If yes, also indicate where and what level (elementary, junior high, or high school).
If yes, also indicate where and what position.
Do you work on campus?
If yes, also indicate (a) Title of your Position; (b) Name of Department; (c) Hourly compensation.
Please prepare the following document according to the instructions and check off that you have done so. You must email the document to [email protected]. Acceptable file types: pdf, png, jpeg, tiff, jpg. 256 MB limit.
Instructions- read carefully: https://www.calstatela.edu/lsamp/instructions-obtain-academic-degree-planner
Before you submit your online application, please confirm that you have emailed the file to [email protected]. Your Continuing LSAMP application will only be reviewed when the file has been received at [email protected].
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