Undergraduate LSAMP Forms


Some forms are PDF format. In order to open and edit these documents, you must have Adobe Reader installed on your computer. 

The following are common forms used by the LSAMP program:

New LSAMP Application Form

Initiated in 1993-1994, CSU-LSAMP is an alliance of the 23 campuses of the California State University (CSU) system which supports a coordinated and comprehensive system-wide approach to broadening participation in science, technology, engineering and mathematics (STEM) disciplines.

Each of the CSU campuses has a CSU-LSAMP program that offers an array of activities and services designed to improve retention and graduation of undergraduate students in STEM. In addition, CSU-LSAMP seeks to increase the number of CSU-LSAMP students who enter STEM graduate programs or the STEM workforce.

 To be eligible to participate in CSU-LSAMP, students must:

·       Be a U.S. Citizen or Permanent Resident.

·       Be enrolled at a participating campus in an undergraduate major in a STEM discipline or have expressed an interest in pursuing a STEM baccalaureate degree.

·       Be an individual who has faced or faces social, educational, or economic barriers to careers in STEM.  

·       Each CSU-LSAMP campus program may have additional eligibility requirements.  Please see the Campus Coordinator.

Please follow the instructions accompanying the New LSAMP Application Form exactly. Please click the appropriate links below to obtain the instructions and application form. Application materials for NEW LSAMP students become available around September 1st of each year.

LSAMP Program @ Cal State LA Information

New LSAMP Student Application Form for AY 2020-2021

Continuing LSAMP Application Form

Applications are accepted year round, but to be eligible for any LSAMP components including Early Registration, a valid NEW or CONTINUING STUDENT application must be on file and approved for the year in question. Each year runs September 1 through August 31 (e.g., current year is September 1, 2021 through August 31, 2022.) 

Since you already completed the new student LSAMP application form (in fall 2013 or later), you no longer need to fill one out again. Instead, just take the time to update information and update your “MY PLANNER,” available in GET. 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 updated information if you wish to continue as an ACTIVE LSAMP participant. 

Continuing LSAMP Student Application Form for AY 2020-2021

Early Registration Form

The Early Registration Request deadline for each fall and spring term is provided on the main homepage. Please follow the early registration checklist below and submit all required documents and information to [email protected] by Wed, September 22th at 5pm. 

Early Registration Check List Spring 2022 

Seminar Evaluation Form

This form should be completed for each speaker and submitted to the LSAMP Office within 2 hours after the seminar – only handwritten copies will be accepted. Therefore, you may either print out a few copies of this form to be handwritten legibly during the seminar or pick up some forms from the LSAMP Office. Please click the link below to access the Seminar Evaluation Form.

Seminar Evaluation Form

LSAMP Student Travel Request Form

A detailed set of instructions and travel request procedures was distributed to all LSAMP students at the start of Fall Semester, 2017. This information is also attached here in the link labelled “Travel Request Procedures,” which contains and describes the steps to request travel funds to professional conferences. If you have plans to make such requests, please read this document carefully BEFORE completing any forms.

LSAMP Student Travel Request Form

LSAMP Student Airfare Pre-Pay Form


CSU-LSAMP is supported by the National Science Foundation under Grant # HRD-1302873 and the CSU Office of the Chancellor.