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SUNY Cortland - LSAMP Interest Form

Through this form you can express your interest in joining the Cortland-LSAMP community. After we receive your completed form we will get back to you with more information on how to get involved!

Institution
If available
Race / Ethnicity
We recognize the following terms may be constricting. The National Science Foundation (NSF) defines race/ethnicity historically underrepresented in STEM as: African American, Hispanic American, American Indian, Alaska Native, Native Hawaiian, and Native Pacific Islander. Please indicate below which groups you identify with.
Race / Ethnicity - additonal information
Please use the space below to provide additional race and ethnicity information if you selected "other" in the previous question or would like to provide any clarifying information.
  • {name}
Residency
The National Science Foundation (NSF) requires that participants receiving direct stipend support must be U. S. citizens, U. S. nationals or permanent residents of the United States.
If you haven't declared your major yet, please share your intended or possible majors of interest.
Do you identify as a first-generation student?
The following question is optional to share more about yourself. Responses may be used to connect you to additional opportunities or resources on campus. Being a first-gen student is typically defined as a student whose parents did not complete a 4-year college or university degree.
If you currently or previously served in the U.S. Armed Forces, Reserve, or National Guard, which of the following best describes your current military service status?
The following question is optional to share more about yourself. Responses may be used to connect you to additional opportunities or resources on campus.

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