RISE Program Application
BSEP Summer Program

Name : Middle

Address :

City : State : Zip :

Country :

Phone# :

E-mail address:

What is your Ethnicity:

Overall Grade Point Average : Science Grade Point Average

Annual Income Range (US$) :

Household size :

Are you a first Generation college student
Yes No

Do you qualify for financial Aid
Yes No I don't know (if you don't know please check with the RISE Program Office at 831-5024.)

Are you planning to enroll as a full-time student at El Paso Community College for at least one year?
Yes No

Please list any honor societies or clubs you belong to in your high school and if you have taken any advanced placement courses in science or math:

Write a brief essay describing your future academic plans, and the reasons why you want to participate in the program.

Please include a transcript after submitting this application to :

Dr. Maria E. Alvarez
RISE Program Director
El Paso Community College
P.O. Box 20500
El Paso, TX 79998
FAX : 831-5084