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Emergency Notification

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 2021-2022. 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.

Name
Mailing Address
If yes, also indicate where, which degree (MS or PhD) & what major? Students accepted to graduate school are eligible for increased incentives.
If yes, in 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 yes, also indicate where and which degree program.
If yes, also indicate where and what level (elementary, junior high, or high school).
If yes, also indicate where and what position.
If yes, also indicate (a) Title of your Position; (b) Name of Department; (c) Hourly compensation.
Instruction: https://documentcloud.adobe.com/link/track?uri=urn:aaid:scds:US:2478708d-a0d3-4347-9573-a362f753cdb8
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.