B2B Application Form You must have JavaScript enabled to use this form. Indicates required field Full Legal Name Preferred name (if different than above) Preferred Pronoun Email Phone Number Address Ethnicity (check all that apply) - OPTIONAL Caucasian African American Asian American Hispanic American Indian Alaska Natives Native Hawaiians US Pacific Islander Other If you select "Other" in the above question, please specify. Gender (check all that apply)-OPTIONAL Male Female Other If you select "Other" in the above question, please specify. Have you previously earned a bachelor’s degree from a college/university? Yes No Residency Status US Citizen Lawful Permanent Resident Non-citizen national (US Territories) DACA Student Other If you select "Other" in the above question, please specify. One of the goals of the B2B program is to broaden participation of individuals who have been historically excluded or underrepresented in the sciences. Please check all that apply to you: First generation in the family to attend college Mental or Physical Disability Pell Grant eligible Overcome extraordinary challenges (e.g. Homelessness) Veteran Other If you select "Other" in the above question, please specify. I am a student at Front Range Community College (FRCC) Boulder County Campus (Longmont) Front Range Community College (FRCC) Westminster Campus Number of college credit hours completed (through Fall 2024) Major (area of study) at FRCC Have you recently applied to or are you currently applying to new educational program (e.g. nursing program)? No Yes, I have recently applied Yes, I plan to apply soon If you select "Yes," please specify which program you have applied or are applying to. Current College GPA Anticipated FRCC graduation date, and degree Make sure to include the month and year of your expected graduation date. Research Interest Questions 4Most Interested 3 2 1Not Interested Molecular Biology e.g., genetics, stem cells, developmental 4 Most Interested 3 2 1 Not Interested Neuroscience 4 Most Interested 3 2 1 Not Interested Biochemistry 4 Most Interested 3 2 1 Not Interested Integrative physiology e.g., endocrinology, physiology, locomotion 4 Most Interested 3 2 1 Not Interested Summer Class Questions Yes No Are you planning to take classes this summer? Yes No If you select "Yes" for taking summer classes, please specify which class(es). Unofficial College Transcript Use this link to get your unofficial FRCC transcript. https://www.frontrange.edu/student-experience/alumni-resources/transcripts/index.htmlOne file only.2 MB limit.Allowed types: gif, jpg, jpeg, png, rtf, pdf, doc, docx. What excites you most about science? Describe something you have worked on or learned about in science that makes you curious and eager to know more. (250 words or less) What motivates you to apply to this program? What do you hope to learn and/or gain from this opportunity? (250 words or less) What are your goals for your education and/or career? How might this experience help you achieve them? (250 words or less) How has your cultural or family background affected your academic journey? (250 words or less) Letter of Recommendation Name and Email of the reference: Please ask someone, other than a family member (such as a science instructor or teacher), to write a recommendation letter for you. The person should know your scientific interests, motivations, and strengths. Be sure to explain the program details (or share the program link) to them so they understand the letter's purpose. Ask them to send the signed recommendation letter to Fan.Yeung@colorado.edu by 2/15/2025. How did you hear about our program? (check ALL that apply) My science instructor D2L announcement On campus information session In class advertisement Flyers on campus Fellow students
