Jump Start Pathfinder Application

Please complete and submit the application by February 13, 2013.

First Name *

Middle Name

Last Name *

Student Number

Local or Cell Phone Number *

Local telephone or cell phone, number

E-Mail address *

Classification *

Home Town

Major 1 *

Major 2 (if applicable)

Minor (if applicable)

Anticipated Graduation Date *

Month and Year of your anticipated graduation

Are you a transfer student? *

yes

If you are a transfer student, please list former schools.

You do not need to list institutions from which you received college credit during high school. Please only list institutionsl that you attended after graduating from high school.

Did you participate in Jump Start? *

yes

If so, please list your JumpStart year:

Which of the following places have you lived during your time as a student? Select all that apply.

Residence Hall

Off Campus

At Home (or with relative)

Greek House

List the groups and activites you have participated in during college. If applicable list offices held and dates of involvement.

List your employment experience, beginning with the most recent.

Include the employer names, employer locations, supervisors' names and dates of employment.

List the name, position title, and email address for one faclulty or staff reference.

List the name and email address of one peer/student reference.

List any special skills or interests.

Please attach a one-page typed essay in which you reflect on your personal experience transitioning to UNI and the role of some aspect of your identity (such as ethnicity, race, sexual orientation, socioeconomic status) in the transition process.

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Jump Start Pathfinder Application