Page 1

2018 UNITE APPLICATION

University of Puerto Rico

Rio Piedras, San Juan, Puerto Rico

Students that are interested in participating of the UNITE Program (9th –12th grade students) must fully complete the application form and submit a copy of your academic record (recent report card, unofficial transcript or official transcript) before Friday April 13, 2018.

The application can be submitted by regular mail to: Dr. Peter Feng

UNITE Program

University of Puerto RicoDepartment of

PhysicsPO BOX 70377

San Juan, PR 00936-8377

It will be better if the application (word format) and copy of your academic record can be electronically sent before Friday, April 13, 2018 to: peter.feng@upr.edu and unite@fisica.uprrp.edu

To be considered for the UNITE program students must meet two of the criteria listed below:

Page 2

• Student self-identifies as qualifying for free or reduced lunch• Student self-identifies as a minority historically

underrepresented in STEM (Alaskan Native, Native American, Black or African American, Hispanic, Native Hawaiian or other Pacific Islander)

• English is a second language for the student• Student is a potential first-generation college-bound student

(parents did not attend college)• Student attends a rural or frontier school or a school/program

selected for Federal-targeted outreach

Page 3

Application Form

First name:_

Last name:

Sex:

Email Address:

Address:_

City:

State/Province: Puerto Rico

ZIP/Postal Code:

Citizenship:

Date of Birth:

Parent/Legal Guardian Full Name:

Parent/Legal Guardian Emergency Phone Number:

Parent/Legal Guardian Email:

What is your preferred method of communication?

What is the name of your school?

What is the school grade you are currently in?

In what city/town is your school located?

What is the zip/postal code of your school?

Provide your cumulative grade point average (GPA) on a 4.0 scale, weighing all courses evenly.

Page 4

List the high school courses you have completed or are currently taking in the fields of science, technology, engineering, and mathematics (STEM) including, advanced placement courses. For courses that you have completed, provide your final grade.

Submit a copy of your academic record. This can be in the form of a recent report card, unofficial transcript, or official transcript.

List the science, technology, engineering, and mathematics (STEM) activities in which you participate. Indicate leadership positions and/or awards received.

Why do you want to participate in UNITE this summer? (Statement of 200 words or less)

Page 5

What areas of science, technology, engineering, and mathematics (STEM)are you most interested in? Why? (Statement of 200 words or less)

How did you hear about this program? (One or two sentences)

Student signature: (electronic)

Parent/guardian signature: (electronic)

Date:

Page 6

Additional Information about the UNITE Program:

What is the program about?

This program (mentor: Dr. Jose F. Nieves, Co-mentors: Dr. Carmen A. Pantoja and Dr. Peter Feng) in UPR-RP is supported by DoD Army Research Office.

The UNITE program provides high school students with the opportunity to participate in college-structured summer courses that feature hands-on applications, participation in lectures, problem solving techniques, and tours of private and governmental laboratory and engineering facilities. Students receive classroom instruction in courses such as chemistry, physics, algebra, and calculus. They are introduced to math and science applications and how these applications are applied to real-world situations. The students are also shown how these applications are related to careers in engineering and technology. The UNITE program is designed to support socially and economically disadvantaged high school students. For more information about UNITE, visit http://www.usaeop.com or http://www.jets.org/programs/unite.cfm.

What is the duration of the Program?Around 4 weeks during June-July 2018.

How do I apply for this program and what are the requirements?See application.The deadline for application is 13 April 2018. The program committee will have a meeting and then decide to select a total of 20 students. Each selected student will receive a stipend of $400 from this program.

Please contact Dr. Peter Feng (peter.feng@upr.edu) if you have any questions related to this program.