FLORIDA-GEORGIA LOUIS STOKES ALLIANCE
FOR MINORITY PARTICIPATION
In Science, Technology, Engineering & Mathematics
at
Florida State University
FGLSAMP@FSU
Coordinator: Latika L. Young
Graduate Assistant: Kimberly L. Reid
Office of Undergraduate Research and
Academic Engagement
Honors, Scholars and Fellows House
127 Honors Way, Tallahassee, FL 32306
850.645.9630 (phone)
850.644.2101 (fax)
Due Date: Monday, September 22, 2014 by 4 p.m.
Rm 3002C
FGLSAMP Institutions:
Albany State University University of Central Florida
Bethune-Cookman College University of Florida
Florida A&M University University of South Florida
University of Miami Florida State University
Tallahassee Community College Miami-Dade Community College
Florida Community College at Jacksonville
Florida International University
FLORIDA-GEORGIA LUIS STOKES ALLIANCE
FOR MINORITY PARTICIPATION at FSU
In Science, Technology, Engineering & Mathematics
BACKGROUND
Founded by the National Science Foundation (NSF), the Florida State University Chapter of the FGLSAMP program is part of a nationwide alliance that began in the fall of 1992. The program’s goal is to facilitate the entry of FGLSAMP Science, Technology, Engineering and Mathematics (STEM) majors into graduate programs while increasing the production of minority graduates in the STEM areas. These goals are met through:
· RECRUITMENT
o Visits to graduate institutions
o Conferences/Workshops
· PROGRESSION
o FGLSAMP Mentoring Program
o Monthly Workshops/Meetings
o Internships/Research Opportunities
· GRADUATION
o Assist students in getting accepted at top-notch graduate institutions
o Assist students with obtaining full-time employment opportunities
WHAT DOES FGLSAMP PROVIDE YOU?
· STIPEND
o Based on cumulative GPA, participation, and other criteria
o Freshman and sophomores receive up to $500
o Juniors and seniors receive up to $1,000
o Received at the end of the academic year (end of spring semester)
· SEMINARS/CONFERENCES
o FGLSAMP Regional/National Conferences
o FGLSAMP @FSU Professional Seminars
FGLSAMP PROGRAM REQUIREMENTS
· GPA: 3.0 or greater
· SAT: Minimum score of 1000
· ACT: Minimum score of 21
· Must be an active student matriculating in one of the following areas:
o Biology
o Physics
o Chemistry
o Mathematics
o Computer Science/Computer Information Systems
o Environmental Sciences
o Engineering--Industrial, Civil, Chemical, Electrical, or Mechanical
· Must be planning to attend graduate school for research (not a professional school, such as for Medicine, Dentistry, etc.)
FLORIDA-GEORGIA LOUIS STOKES ALLIANCE
FOR MINORITY PARTICIPATION at FSU
In Science, Technology, Engineering & Mathematics
The following items need to be submitted:
____ FGLSAMP Student Application
____ Financial Aid Received (can be printed from online)
____ 1 Letter of Recommendation (from College/University Faculty or Staff; if applying as a freshman, high school teacher is sufficient)
____ Essay (explain why you selected your major; describe your future academic/career goals)—at least 1 page TYPED
____ Résumé
Checklist completed (please sign): ______
Date: ______
FLORIDA-GEORGIA LOUIS STOKES ALLIANCE
FOR MINORITY PARTICIPATION at FSU
In Science, Technology, Engineering & Mathematics
STUDENT APPLICATION
The goal of the Florida-Georgia Louis Stokes Alliance for
Minority Participation (FGLSAMP) is to increase the graduation
rate of minority students in science, technology, engineering
and mathematics. The information collected on this application
will be used to that end. Please TYPE or use BLACK INK when
completing this application.
*NOTE: You MUST be enrolled or have been accepted to Florida
State University to be considered for the FGLSAMP Program.
STUDENT PERSONAL DATA
Date of Application ______Current GPA ______
Date of Birth ______
Last Name ______First Name ______MI___
Permanent Street Address ______
City______State ______ZIP ______County ______
Home Phone (_____) ______-______US Citizen? ______Yes _____No
Local Street Address ______
City______State ______ZIP ______County ______
Local/Cell Phone (_____) ______-______
FSU email Address ______Gender _____ Male _____ Female
Ethnicity _____ Hispanic or Latino _____ Not Hispanic or Latino
Race ____ Black or African American ____ Native American ____ Alaskan Native ____ Pacific Islander ____ Asian ____ White
____ Unknown/Not Reported
FLORIDA-GEORGIA LOUIS STOKES ALLIANCE
FOR MINORITY PARTICIPATION at FSU
In Science, Technology, Engineering & Mathematics
Do you have a disability? _____ Yes _____ No
If yes, please specify the type of disability: ______
Have you participated in FGLSAMP prior to this application? ______Yes ______No
If yes, please indicate the following:
· Your classification when you last participated: ___Freshman ____Sophomore _____ Junior ____Senior
· Previous Institution: ______
· Your GPA when you last participated: ______
· Program Type: _____ Summer Program _____ Academic Year
· Did you complete the program? _____ Yes _____ No
· If no, please explain ______
Indicate below your current area of interest:
_____ Chemistry
_____ Computer Science or Computer Information Systems
_____ Engineering (Indicate type: ______)
_____ Environmental Science
_____ Geosciences
_____ Life/Biological Sciences
_____ Mathematics
_____ Physics
_____ Other (please indicate area: ______)
EDUCATIONAL HISTORY
Name of previous high school/college ______
School Address ______
City ______State ______Zip ______County ______
School Phone (_____) _____--______
What is your current classification?
_____ Freshman _____ Sophomore _____ Junior _____ Senior
FUTURE ASPIRATIONS
Do you plan to attend graduate school after you complete your undergraduate studies? ____ Yes ____ No
If yes, where do you plan to attend or where are you considering for graduate school? ______
Do you have any interest in teaching Mathematics or Science after you complete your studies? ____ Yes ____ No
SCHOLARSHIPS/AWARDS/EXPERIENCES (you may attach an additional sheet, if needed)
Please list below all scholarships received:
______
______
Please list in order of importance all extra-curricular, community service, or other activities (i.e., band, sports, clubs) which occupy your time outside of school:
______
______
______
Please list any awards, honors, or achievements:
______
______
______
Are there any special skills or abilities you possess that you would like us to take into consideration?:
______
______
Do you have any previous research experience? If yes, please describe:
______
FLORIDA-GEORGIA LOUIS STOKES ALLIANCE
FOR MINORITY PARTICIPATION at FSU
In Science, Technology, Engineering & Mathematics
I, on my own behalf and on behalf of my heirs and estate, hereby release and hold harmless the State of Florida, Florida State University, and all employees, agents and students of the University of actions arising out of and concerning my participation in the Florida State University’s Florida-Georgia Louis Stokes Alliance for Minority Participation (FGLSAMP) Scholarship Program.
Print Name ______
Student Signature______Date______
Please submit by 4 p.m. on Monday, September 22, 2014
Bring completed application to the Office of Undergraduate Research, University Center, A Building, 3600.
If you have questions, please contact:
Latika L. Young
Assistant Director, Office of Undergraduate Research and Academic Engagement
Honors, Scholars, and Fellows House
127 Honors Way Rm 3002C
Tallahassee, FL 32306
850-645-9630
or Kimberly L. Reid
Graduate Assistant, Office of Undergraduate Research and Academic Engagement
Honors, Scholars, and Fellows House
127 Honors Way Rm 3002F
Tallahassee, FL 32306