Bridges to Biomedicine – Fall 2013 Application Form
Note to applicant: It will be useful to have a copy of your most recent college transcript as you complete this application. You can get this by logging into ACES, and you can save your unofficial transcript as a PDF (you will need to submit this with your application, anyway).
What and Where to Submit Email both: The completed application form (with essay on page 3) A copy of your unofficial Alamo Colleges Transcript (you can log in to ACES and save a PDF) To this email address: [email protected]. You should receive an automated reply if your submission was successful.
Please provide ALL of the following information. Click the light blue boxes to type or check.
Contact Info – So we can let you know whether you’ve been accepted, or follow up with any questions. Email (we will primarily contact you by email)Enter email
Phone (if the email bounces back or doesn’t work, we will follow up with a phone call) Enter phone.
Demographic Info Name (Last, First Middle) Last, First Middle. and Banner ID number Banner ID #.
Date of Birth (MM/DD/YYYY) MM/DD/YYYY.
Gender Enter gender.
Ethnicity/Race – Select ALL of the following groups with which you identify as part of your cultural or family heritage. You may choose more than one.
☐Hispanic/Latino ☐American Indian or Alaska Native ☐Black/African American ☐Native Hawaiian or Other Pacific Islander ☐White/Caucasian ☐Other: Click here to enter other groups. ☐Asian US Citizen, Resident, or Visa? Check ONE of these ☐ I’m a US Citizen or a Permanent Resident ☐ I’m NOT a US Citizen or Permanent Resident
Which ONE CAMPUS is your primary campus? If you take classes at more than one campus – from where are the majority of your hours this semester? ☐ NVC ☐ SAC ☐ Other Campus: name
Are you a full-time student? (“Full time” is enrolled for 12 hours or more) ☐ Yes ☐ No How many full term student semesters have you completed at any college campus? Dual Credit enrollment does NOT count for this. Only count long semesters (fall, spring) – not summer semesters. # semesters. How many credit hours have you completed? Don’t count the credits you’re currently enrolled in. DO count any credits that you transferred in. This number should match the “completed credits” listed on your transcript. # credits. Did you arrive with any credit hours from AP, IB, dual-credit, or similar?
. ☐ Yes – how many? # AP/IB etc credits. ☐ No
What is your college GPA? Enter GPA. or ☐ This is my first semester in college; I don’t have a GPA yet. What was your High School GPA? Enter GPA. or ☐ I can’t remember well enough to estimate. Academic Info
Have you already declared a major? ☐ Yes ☐ No
If yes: Which major have you declared?
☐ Biology ☐ Pre-Dentistry ☐ Chemistry ☐ Pre-Pharmacy ☐ Chemical Research ☐ Pre-Optometry ☐ Pre-Medicine ☐ Other: Click here to enter other major.
If you have NOT yet declared a major, or if you intend to change majors at Alamo Colleges, check the major you intend to choose:
☐ Biology ☐ Pre-Dentistry ☐ Chemistry ☐ Pre-Pharmacy ☐ Chemical Research ☐ Pre-Optometry ☐ Pre-Medicine ☐ Other: Click here to enter other major.
College-ready Math and English: Which of the following apply to you? Check only ONE.
☐ Placement tests placed me into MATH1314/1414 (College Algebra) and ENGL1301 (Composition I) or higher
☐ I completed all my developmental courses and I’m now able to enroll in MATH1314/1414 College Algebra and ENGL1301 Composition I or higher
☐ I am taking/still need to take developmental math and/or English (indicate which below) ☐ READ 0055, 0301, 0302, or 0303 ☐ ENGL 0100, 0300, or 0301 ☐ MATH 0055, 0100, 0300, 0301, 0302, 0303, 0305, 0310, or 0320
Science and Math Coursework: Have you completed any of these courses with a C or better, or are you taking any of these courses this semester? Check ALL that apply. (Check your transcript – some transfer credits may be included as a P, which counts here.) Math and Physics Chemistry and Biology ☐ MATH 1314 College Algebra ☐ CHEM 1311/1111 General Chemistry I w/lab ☐ MATH 1314 College Algebra precal track ☐ CHEM 1312/1112 General Chemistry II ☐ MATH 2412 Precalculus w/lab ☐ MATH 2413 Calculus I or MATH2414 ☐ CHEM 2323/2223 Organic Chemistry I w/lab Calculus II ☐ PHYS 1401 General Physics I or PHYS 1402 ☐ BIOL 1406 Biology for Science Majors I General Physics II ☐ BIOL 1407 Biology for Science Majors II ☐ PHYS 2425 University Physics I or PHYS 2426 University Physics II Academic and Career Goals – This program is intended to give academic and scientific preparation to students planning to transfer to a bachelor’s degree program in science, so we want to know if that’s your plan
Do you plan to transfer into a bachelor’s level program in science? Bachelor’s level programs are also called 4- year degrees. ☐ Yes, that’s my plan ☐ I’ve thought about it, but I’m not sure ☐ No
If yes or maybe: To what schools are you thinking about transferring, and into what degree programs (e.g., biology, chemistry, math) List up to 5 schools and/or programs, in order of preference.
Top choice transfer school/program.
Next choice transfer school/program.
Next choice transfer school/program.
Next choice transfer school/program.
Next choice transfer school/program.
If no: Do you intend to transfer to another school or program that is not a bachelor’s program after you finish at Alamo Colleges? ☐ No ☐ Yes – What program, and where? Enter alternate program.
If you don’t plan to transfer at all: What do you plan to do when you finish at Alamo Colleges? Describe your plans
Essay (at least 1 paragraph; no more than 1 page):
What are your career or academic goals*, and how you think this program will help you achieve these goals? *You might not yet have decided on one single career/academic path. You may discuss more than one, but please describe them in order of your interest (i.e., describe the one you’re most interested in first).
Type your response, or cut and paste to here. If you prefer, you can simply submit the essay as a separate document – make sure it has your name on it!
Anything else? (this is optional)
Is there anything else you want the Bridges selection committee to know when evaluating your application? Feel free to add it below. (optional)
Type your response, or cut and paste to here.