Ivy Tech Community College IndianapolisLSAMP Application

Ivy Tech Community College Indianapolis

LSAMP Application

Applications are currently being accepted for the following positions with the Ivy Tech Community College Indianapolis Louis Stokes Alliance for Minority Participation (LSAMP):

Summer 2023 Research Experience - The 8-week summer research experience (June 5, 2023 to July 28, 2023) will take place on the IUPUI campus under the mentorship of a faculty mentor. Selected research scholars will work 25 hours a week for 8 weeks at $15/hr.

2023-24 Academic Year Supplementary Instruction Student Leaders/Mentors - Selected Supplementary Instruction Student Leaders/Mentors (SI) will lead the collaborative learning effort in designated LSAMP approved classes during the academic year, helping underrepresented minority peers with homework and other classroom learning activities under the mentorship of the course instructor. SIs will work approximately 10 hours per week for 14 weeks in fall and 14 weeks in spring. Hourly pay rate is $15/hr. SIs must complete a short reflection regarding their experience at the conclusion of each semester in which they serve as a an SI.

Important Dates

Application Deadline: Monday March 20, 2023 at 8:00am ET. Extended until Friday March 31st, 2023.

Selected applicants will be notified of their acceptance by April 14, 2023.

Questions? Please contact lsamp@ivytech.edu.

Eligibility

Citizenship*

Note: Eligible candidates must be a United States citizen or permanent resident.

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Race*

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"More than one race" was selected. Please list.

Ethnicity*

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Applicant Information

First Name*

Last Name*

Campus Email*

This is your current college or university email to confirm eligibility with campus. Applications with personal emails such as gmail, etc. will not be considered.

Primary Phone #

Gender*

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Preferred Pronouns

Ex. She/Her/Hers

He/Him/His

They/Them/Theirs

Do you have a disability?*

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Disability Description

optional

Academic Information

Current Enrollment Status*

At the time of completing this application, I am enrolled at Ivy Tech Community College Indianapolis as a:

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GPA*

Report cumulative GPA in number format on a 4.0 scale. Example: 3.5

Note: If you are a first year college student without a college GPA (GPA earned at a college/university after high school), please write "no college GPA" in the box.

Credit hours completed*

Please select total college credits completed after high school as of today's date.

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What major/degree are you seeking?*

List full undergraduate degree title. If pursuing more than one degree, please list all. Do not include certificates or minors.

Ex. AS in Engineering, etc.

Expected Graduation Semester/Year*

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Position Information

Select the position(s) you are applying for:

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Research Areas of Interest

If applying for a summer Research Scholar position, please select up to two research areas of interest.

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Potential Faculty Research Mentor

Provide the name and email of a potential faculty mentor for research.

Short Answer Questions

Short answer responses should be a maximum of 300 words.

Question 1 - Potential*

Why do you believe you have the potential to become an outstanding STEM student?

Question 2 - Barriers*

Describe any cultural, social, or economic barriers you believe you faced in pursuit of your education.

Question 3 - Participation*

Describe how your participation with the Indiana LSAMP program will contribute to broadening diversity in the workforce of scientists, technologists, engineers, mathematicians, and educators.

Question 4 - In the Future*

I will be a mathematician, scientist, or engineer in the future.

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Question 5 - Apply to graduate programs*

In the future, I plan to apply to the following graduate program.

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Review Application and Sign

To submit your application, please review all components, read the statement below, and sign.

Electronic Signature*

- I authorize Indiana LSAMP to investigate any information, including my educational background, that is relevant to my application.

- I give permission to release the information provided within my application to the selection committee for Indiana LSAMP scholars.

- I agree to receive communication and respond to this communication by dates listed from Indiana LSAMP.

- I authorize the use of information provided within the application for research, applicant tracking, and reporting purposes.

- I understand by participating in Indiana LSAMP that my career placement, academic placement, and educational status will be tracked for a minimum of seven years.

- I understand that withholding or giving false information may make me ineligible for admission or continuation in the Indiana LSAMP Program.

- I authorize any high school or institution of higher education I have attended to furnish information as may be requested by the Indiana LSAMP Program.

- If accepted as an Indiana LSAMP Scholar, upon receiving publicity for educational or scholarly accomplishments, I will notify my Indiana LSAMP office for specific grant support information in order to acknowledge and consent to the release of information or photograph to the media regarding my participation in the Indiana LSAMP Program.

- If accepted as an Indiana LSAMP Scholar, I consent to the release of information to the media regarding participation in the Indiana LSAMP program and program activities.

*I hereby grant the selection committee for Indiana LSAMP permission to download documents from Indiana LSAMP's secure databases and save them into a secure folder to be reviewed as part of the admissions process at my institution. By typing in my electronic signature below, I declare that this application is correct and complete to the best of my knowledge.

Electronic Signature:

App Date*

Select today's date.

Send me a copy of my responses

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