AR
Apprentice Researchers

Program Dates: June 24 - August 2, 2024

Application Deadline: Thursday, April 18, 2024, 11:59pm
Required Application Materials: Eligibility Requirements: This first page is your application. It must be filled out completely. You will not be able to save a partial application and return to it later. We will communicate with you using email, so make sure that is entered correctly. After submitting, you will be directed to a new page where you can view the status of your application materials and provide your short responses.

Please avoid using autofill, as it can erroneously fill in fields.

Student Information
First Name Last Name Birthdate Personal Email - If you do not have an email address where you can be reached, please provide the email of your school counselor below and we will contact them with our decision Cell Phone - Make sure it is one where we can always reach you
- -
Permanent Contact Information
Address City State Zip
Current School
Name of School City
US State/Territory
Expected Graduation Year
Employment/Volunteer Experience
Do you have current or prior work experience? It may be paid or volunteer. Please include ONLY non-scientific work.
Yes
No
STEM Enrichment Activities
Have you participated in any programs or activities that focus on science, technology, engineering, and mathematics (STEM)? These may include MESA, AVID, Science Fairs,
Yes
No
Science and Math Courses
Please list all of the science courses you have taken since 9th grade or are currently taking.


Please list all of the math courses you have taken since 9th grade or are currently taking.
Computer Experience
Do you know any computer programming languages, such as Python, R, SAS, Java, C++, or Matlab, or computer programs such as PowerPoint, Excel, Photoshop, or others we have not listed?
Yes
No

Prior Research Experience
Have you participated in research in a science or engineering laboratory?
Yes
No
Teachers to Contact
We will reach out to teachers at your high school to ask for a recommendation. Please give us the full names of 1 or 2 teachers you would like us to contact, along with the subject they teach (it can be any subject) and their email. Please be sure their name is spelled correctly and that their email is correct. Please note we may also get references from teachers you do not list.
  1. Teacher's Full Name Subject e-mail
Demographic Information
Continued funding for our programs depends on our ability to provide complete and accurate demographic information for reporting purposes to funding agencies. Your name will not be associated with your responses when reporting this information externally.

Which of the following represents your status in the US?
I am a US citizen
I am a US permanent resident
I am an international student
None of the above

What is your gender identity?
Woman
Man
I identify as:
Decline to state

Are you of Hispanic/Latinx origin?
Yes
No
Unknown
Decline to state

Which of the following best describes your race? You may hover over each term for a definition. Select all that apply. For example, if you are of Hispanic/Latinx origin, you may be a mix of American Indian/Alaska Native as well as Caucasian. If you are not of Hispanic/Latinx origin, you may still be a mix of American Indian/Alaska Native as well as Caucasian. You may select "Unknown" if your race is unknown to you.
American Indian/Alaska Native Includes all indigenous people of North, Central, and South America

Asian Includes all indigenous people of East Asia, Southeast Asia, and the Indian subcontinent

Black Includes all indigenous people of Africa

Hawaiian/Pacific Islander Includes all indigenous people of Pacific Islands, including Hawaii, Guam, Fiji, Philippines, Tonga, and Samoa

Caucasian Includes all indigenous people of Europe and Middle Eastern countries, including Spain, Italy, and Portugal

Unknown Your ancestry is unknown to you

Decline to state

What language(s) did you grow up speaking in your home?





Do you have any disabilities, defined as a physical or mental impairment that substantially limits one or more major life activities?
Yes
No
Decline to state

Which of the following programs have you ever participated in?
Advancement via Individual Determination (AVID)
Educational Opportunity Program (EOP)
Mathematics, Engineering, and Science Achievement (MESA)
School for Scientific Thought (SST)
I have not participated in any of the above programs.
Decline to state

Do you qualify for a free or reduced lunch?
Yes
No
Unknown
Decline to state

Are you from a single parent home?
Yes
No
Decline to state

Have you ever been in the foster care system?
Yes
No
Decline to state

Please provide the education level of the parents/guardians who you have lived with. You can enter up to 4 by clicking "Add another parent/guardian".
  1. Education Level of Parent/Guardian #1

Will you be the first generation in your family to earn a bachelor's degree? (If your parents/guardians did not earn a bachelor's degree, then you are first-generation.)
Yes
No
Unknown
Decline to state


Please go through your form and be sure it is completely and correctly filled out. Incomplete application forms cannot be submitted. You will know your form was successfully submitted if once you click "Continue", you are taken to your profile page where you can submit the rest of your application materials. All application materials must be submitted by the deadline for your application to be considered. You will also receive a confirmation e-mail with a copy of your application form. If you are not taken to your profile page, your application was not properly submitted. Please contact portals@csep.ucsb.edu if you experience any technical issues with this application system. Please contact Apprentice Researchers program staff (csep-ar@ucsb.edu) for questions about the program.