MCAT Preparation Course

Division Of Life Sciences, SAS www.lifesci.rutgers.edu/odasis Office for Diversity and Academic Success in the Sciences [email protected] Rutgers, The State University of New Jersey Nelson Biological Laboratories 604 Allison Road – Room A201 Phone: 848-445-6878 Piscataway, New Jersey 08854-6879 Fax: 732-445-6879

ODASIS SUMMER CHEMISTRY, MATH, AND ENGLISH PREP PROGRAM APPLICATION: FORM A (FOR CREDIT) (Please fill this form out COMPLETELY and HAND IN TODAY)

GENERAL STUDENT INFORMATION

1. Name: ______

2. Sex: Male Female

3. Age on June 26, 2016 ______

4. School (please check one): School of Arts & Sciences School of Environmental & Biological Sciences School of Engineering Honors College Other Specify: ______

5. Home Address: ______Street

______City State Zip

6. Country of Citizenship: ______Visa Type:______

7. Contact Information: a. Student Home Phone: ______Division Of Life Sciences, SAS www.lifesci.rutgers.edu/odasis Office for Diversity and Academic Success in the Sciences [email protected] Rutgers, The State University of New Jersey Nelson Biological Laboratories 604 Allison Road – Room A201 Phone: 848-445-6878 Piscataway, New Jersey 08854-6879 Fax: 732-445-6879

b. Student Cell Phone: ______c. Student E-Mail: ______Division Of Life Sciences, SAS www.lifesci.rutgers.edu/odasis Office for Diversity and Academic Success in the Sciences [email protected] Rutgers, The State University of New Jersey Nelson Biological Laboratories 604 Allison Road – Room A201 Phone: 848-445-6878 Piscataway, New Jersey 08854-6879 Fax: 732-445-6879

8. Ethnicity:

Black/African-American Mexican-American/Chicano

American Indian or Alaskan Native Puerto Rican (Mainland)

Puerto Rican (Commonwealth) Other Hispanic Specify: ______EDUCATIONAL HISTORY

1. High School: ______

2. SAT Score: Total Score ______Critical Reading ______Math ______

ACT Score (if applicable): ______

3. High School GPA: ______High School Rank: ______

EMERGENCY CONTACT INFORMATION:

1. Name: ______Relationship:______

2. Phone Number: ______

3. E-mail:______

Student Signature: ______Date:______

Parent Signature: ______Date:______Division Of Life Sciences, SAS www.lifesci.rutgers.edu/odasis Office for Diversity and Academic Success in the Sciences [email protected] Rutgers, The State University of New Jersey Nelson Biological Laboratories 604 Allison Road – Room A201 Phone: 848-445-6878 Piscataway, New Jersey 08854-6879 Fax: 732-445-6879

I would like to receive information about the ODASIS biology/ math programs (NOT FOR CREDIT) transitional programs that run from August 22nd – August 26th.

ODASIS SUMMER CHEMISTRY, MATH, AND ENGLISH PREP PROGRAM APPLICATION: FORM B (FOR CREDIT) (Please fill out and return by deadline listed on back)

1. Student Name: ______NetID: ______

RUID#: ______

2. Date of Rutgers Placement Test Completion ______

3. Please list all the Science and Math courses you have taken in high school (Specify AP classes):

______

4. Extracurricular Activities: ______

______

FUTURE CAREER GOALS: Division Of Life Sciences, SAS www.lifesci.rutgers.edu/odasis Office for Diversity and Academic Success in the Sciences [email protected] Rutgers, The State University of New Jersey Nelson Biological Laboratories 604 Allison Road – Room A201 Phone: 848-445-6878 Piscataway, New Jersey 08854-6879 Fax: 732-445-6879

Anticipated Major: ______

Career Ambitions (provide details about your future goals):

______

______Division Of Life Sciences, SAS www.lifesci.rutgers.edu/odasis Office for Diversity and Academic Success in the Sciences [email protected] Rutgers, The State University of New Jersey Nelson Biological Laboratories 604 Allison Road – Room A201 Phone: 848-445-6878 Piscataway, New Jersey 08854-6879 Fax: 732-445-6879

Requirement Checklist:

 Take Rutgers University placement exam by, May 31st, 2016 All Placement tests are conducted online via Sakai. Make sure to complete both the math AND English placement tests. We strongly encourage you to complete the practice problems found in the Placement Test Information Bulletin (https://oirap.rutgers.edu/Bulletin.pdf).  You must place into Math 135 (Calculus) AND English 101 (Expos) to be eligible for this program.

For more information about Placement Tests, please visit: http://oirap.rutgers.edu/testplace.html  Please type a one page essay (single spaced) on why you would like to participate in this program and how you think it will benefit you. Attach your essay to this application.  Attach one (1) letter of recommendation from a Math teacher  Attach one (1) letter of recommendation from a Science teacher

Applications must be received by May 31st, 2016 *EOF students are not eligible due to summer scheduling conflicts*

PLEASE MAIL COMPLETED APPLICATIONS TO:

ATTN: Eric Yoshizuka Nelson Biological Laboratories, Rm. A-201 604 Allison Road Piscataway, NJ 08854

YOU MAY ALSO SCAN THIS FORM & E-MAIL IT BACK TO: [email protected]

OR YOU CAN FAX YOUR APPLICATION TO: 732-445-6879 Division Of Life Sciences, SAS www.lifesci.rutgers.edu/odasis Office for Diversity and Academic Success in the Sciences [email protected] Rutgers, The State University of New Jersey Nelson Biological Laboratories 604 Allison Road – Room A201 Phone: 848-445-6878 Piscataway, New Jersey 08854-6879 Fax: 732-445-6879

Brief Directions on How to Take Your Placement Exams

Reminder: You must place into Math 135 and English 101 to be eligible for the Summer Chemistry, Math, and English Prep Program

 After you commit to Rutgers, you will need to activate your NetID. Go to: https://netid.rutgers.edu/index.htm  On the left hand side of the page, click “NetID Activation” and you should arrive at the page below:

 Complete your NetID activation by filling out your information!

 Please read over the Placement Exam Information: https:// oirap.rutgers.edu/testplace.html  Make sure to read the Placement Testing Information Bulletin for details on when and how to take the Placement Exams and to learn what material will be covered for both English AND Math.  Use the practice problems found in the Placement Testing Information Bulletin to study. Hint: Use your old SAT or ACT books to help brush up on both English and math concepts. Division Of Life Sciences, SAS www.lifesci.rutgers.edu/odasis Office for Diversity and Academic Success in the Sciences [email protected] Rutgers, The State University of New Jersey Nelson Biological Laboratories 604 Allison Road – Room A201 Phone: 848-445-6878 Piscataway, New Jersey 08854-6879 Fax: 732-445-6879

 After you activate your NetID, you should gain access to Sakai in a few days (this may take more than 3 days). Go to: https://sakai.rutgers.edu/portal It should look like this:

 Use your NetID and password to access Sakai. After you have studied for the Placement Exams, go ahead and take them! Good luck!

 When you receive the results of your Placement Exam, please email us where you were placed!

 After you complete your Placement Exam, make sure that you get your two letters of recommendation (1 science and 1 math) and that you write your personal statement!

Make sure that ODASIS has received all of your Application Materials by May 31 st , 2016! Division Of Life Sciences, SAS www.lifesci.rutgers.edu/odasis Office for Diversity and Academic Success in the Sciences [email protected] Rutgers, The State University of New Jersey Nelson Biological Laboratories 604 Allison Road – Room A201 Phone: 848-445-6878 Piscataway, New Jersey 08854-6879 Fax: 732-445-6879

Reminder: If you did not place into Math 135 (Calculus) and English 101 (Expos), you are STILL eligible to participate in the Biology/ Math JUMPSTART program 8/22 – 8/26. For more information on this program, please contact Sonia Orjuela at [email protected] or (848- 445-3491)

Additionally, you are STILL eligible to participate in other ODASIS academic support programs in the Fall- simply come to Nelson A201 on Busch Campus during the first week of classes!