Social Security Number __________________________________________________________________
University/College Attending ____________________________________________________________
Expected date of completion of the requirements for the Baccalaureate Degree in Chemical Engineering
*___________/ ___________/____________
MM
DD
YY
Cumulative GPA _______________
Maximum Possible GPA _____________
Select Minority Group:
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African-American
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Alaskan Native
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Hispanic
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Native American
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Pacific Islander
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Other
Select Gender:
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Male
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Female
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I prefer not to disclose
FILE UPLOAD CHECKLIST
When you submit your application online, you will need the following documents to upload with your
form.
________Career Essay
________Resume
________EFC (Expected Family Contribution Letter)
________Unofficial Transcript
________Recommendation Letter
________ Letter Verifying Financial Need (Optional)