CSTEP Application Form | Dynamic Forms

Collegiate Science & Technology Entry Program Student Application

Thank you for applying to OCC CSTEP.

Applicant Information

OCC Student ID# (Enter "NONE" if you are not a student)

First Name

Chosen Name

Last Name

Gender

TextBox1

Date of Birth (MM/DD/YYYY)

Address Line 1

Address Line 2

City

State

Zip

Are you a permanent resident of New York State?

Yes

No

Citizenship Status

What type of visa?

Personal Email

Cell Phone (xxx-xxx-xxxx)

Please indicate your ethnicity (check all that apply)

Black or African American

Hispanic or Latino

Native American or Alaskan Native

Asian

White or Caucasian

Are you a first-generation college student (meaning neither of your parents have a bachelor's degree)?

Yes

No

Please select the opportunity programs you have been enrolled in (check all that apply)

SEEK or College Discovery

STEP or CSTEP

EOP (Educational Opportunity Program) or HEOP

OCC Advantage

Say Yes to Education

On Point for College

Liberty Partnership Program

GEAR UP

Veterans

Trio Programs (McNair, SSS, etc.)

None

What is your current class level?

Freshman (1-30 credits)

Sophomore (31-62 credits)

What is your current College GPA? (Use high school GPA if just starting)

What is your intended career?

What is your major?

Are you planning to transfer or find employment upon graduating OCC?

What 4 year schools are you interested in?

Who referred you to CSTEP?

CSTEP Application Agreement and General Release

I hereby formally apply to the CSTEP Program at Onondaga Community College and I give permission for other offices at OCC to release any information necessary for consideration of this application to the CSTEP staff. This could include, but is not limited to, information about my grades, financial aid status, etc., for the duration of my involvement in CSTEP should I be accepted. I give permission for CSTEP to take and use photos of me for use on marketing materials, program information and newsletters, and similar materials.

Your Initials