EIF-Program-application - MAJOR PLEASE SELECT YOUR ACADEMIC...

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UNIVERSITY OF THE PACIFIC ENGINEERING INDUSTRY FELLOWSHIP PROGRAM SCHOOL OF ENGINEERING AND COMPUTER SCIENCE PERSONAL DATA SOCIAL SECURITY NUMBER: JUNIOR COLLEGE TRANSFER: APPLYING FOR: LEGAL NAME: GENDER: MAILING ADDRESS: CITY: STATE: ZIP: PHONE AT MAILING ADDRESS: E-MAIL ADDRESS: PERMANENT ADDRESS IF DIFFERENT: PHONE AT PERMANENT ADDRESS: BACKGROUND BIRTH DATE (MONTH/DAY/YEAR): UNITED STATES CITIZEN: ETHNICITY: OTHER: HAVE YOU EVER APPLIED OR DO YOU PLAN TO APPLY FOR COLLEGE FINANCIAL AID? OPTIONAL INFORMATION EDUCATIONAL DATA LAST SCHOOL ATTENDED: CITY/STATE: ATTENDANCE DATES (FROM-TO): VERBAL SAT SCORE: MATH SAT SCORE: ACT SCORE: FRESHMAN AND TRANSFERS HIGH SCHOOL GPA: COMMUNITY COLLEGE GPA:
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Unformatted text preview: MAJOR PLEASE SELECT YOUR ACADEMIC INTEREST: (OR ACADEMIC INTEREST) I AUTHORIZE THE UNIVERSITY OF THE PACIFIC SCHOOL OF ENGINEERING AND COMPUTER SCI-ENCE TO PROVIDE PROSPECTIVE EMPLOYERS WITH COPIES OF MY ACADEMIC FILE FOR THE PURPOSE OF SEEKING EMPLOYMENT. I ACKNOWLEDGE THAT MY ADMISSIONS ESSAY WILL BE USED AS PART OF THE APPLICATION PACKET. I ALSO UNDERSTAND THAT I MUST ENROLL IN UOP TO RECEIVE THIS SCHOLARSHIP, AND THAT THE UNIVERSITY MUST HAVE AN APPLICATION FOR ADMISSION ON FILE BEFORE NETWORKING WILL BEGIN WITH POTENTIAL CORPORATE SPONSORS. BY EMAILING THIS DOCUMENT I ACKNOWLEDGE THAT ALL INFORMATION CON-TAINED HEREIN IS TRUE AND ACCURATE....
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This note was uploaded on 09/25/2010 for the course ANTHRO 02303 taught by Professor Deacon during the Spring '09 term at University of California, Berkeley.

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