This application is for CAMP scholars and members. 

Application Deadline - Friday, October 13, 2017 by 11:59 p.m.

By submitting this application you agree to all of the following terms you understand and meet the following eligibility criteria, which is to:

-Be in good academic standing
-Have and maintain a 2.7 UC cumulative GPA
-Be African American, American Indian, Alaska Native, Chicano/Latino/ Hispanic, or Pacific Islander (Pacific peoples from Hawaii, Guam, Samoa, Cook Islands, other islands in Polynesia).
-Be a U.S. Citizens or Permanent Resident
-Be a declared STEM major

Applicants must submit a signed letter of recommendation from a faculty member.

If selected, your verification will be made possible through the UC Davis Registrar's Office.  Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.

* I have read, understood and accept all the above terms.

* Please indicate which program you are applying for:

CAMP scholars participate in research and quarterly workshops, seminars, tutoring, study jams, and assignments. NOTE: If not selected, you will automatically be considered as a CAMP Member.

CAMP members are not yet doing research, but interested in participating in quarterly workshops, seminars, tutoring, study jams, and assignments.

I. Personal Data

* Full name:

* Student ID Number

* Birthdate:

* Address

* Gender:

* Residence Status

* Racial Category (Check all that apply):

* Ethnic Category:

II. Financial Information:

* Are you receiving or eligible for financial aid this quarter? (check all that apply)

* Are you a first generation college student?

III. Academics:

* Cumulative UCD GPA:

* If your Major Area of Study is not listed above please indicate it in this box.

* Class Level at the time of application:

* Expected Graduation Date:

* In no more than 100 words please tell us what are your post undergraduate plans?

* Have you previously applied to the CAMP Research Program?

IV. Program & Research Experience:

* For CAMP SCHOLAR applicants, please indicate your preferred research involvement:

* Do you have research experience?

* If yes, please list the faculty sponsor's name and department.

* Please indicate which program you are applying for:

* Have you participated in other research programs?

* If yes, please specify in 100 words or less.

* Do you currently, or have participated in any of the following programs (Check all that apply):

* Other (please specify):

V. Essay

CAMP MEMBER APPLICANTS may write (CAMP MEMBER) in the box and continue to item VI.

Please submit a brief statement of no longer than 500 words describing: 1). Your background- family, education and personal interests, 2). What contributed to you selecting your STEM major/ field of study, 3).What is/are your research interest(s), 4). What are your career aspirations and 5). How will your participation in CAMP help you achieve your goals?

VI. Reference

* Reference Name:

* Title:

* Email Address:

* Phone:

Along with your application, one signed letter of recommendation is required by a faculty member.  Please submit letter to Lolita Nelson-Adkins at

By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

By signing you also agree to participate in CAMP workshops, events, and seminars, including the CAMP Symposium (Scholars only) and the Undergraduate Research Conference.
VII. Applicant's E-Signature

* E-Signature: