Operation SteM Student Registration 2013 - 2014

Welcome to Operation STEM!

The CSU Department of Mathematics has been awarded National Science Foundation (NSF) grant funding for Operation ∫TEM, a program which provides students with a community of peers, assistance in Precalculus and research opportunities to promote successful STEM graduates.

The following is comprised of 14 questions, and will take a few minutes to complete.

Please contact Program Coordinator, Susan D. Carver, at OperationSteM@csuohio.edu or 216-523-7160 (during business hours) with any questions and/or for more information.

Thank you!

Question Title

* 1. Personal Information

First Name:

Last Name:

Street Address:

City/Town:

State:

Zip code:

Best Contact Number:

2nd Best Contact Number:

Best Email:

2nd Best Email:

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* 2. CSU ID No. (if known):

CSU ID#

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* 3. Gender:

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* 4. Birthdate (see example below)
April
20
1995

Month

Day

Year

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* 5. Please identify your student category(ies) and check all that apply:

Resident(live on campus in dorm)

Commuter

Transfer

International(have student visa)

If you are an international student, please provide your country of origin:

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* 1. Personal Information

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* 2. CSU ID No. (if known):

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* 3. Gender:

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* 4. Birthdate (see example below)April201995

Question Title

* 5. Please identify your student category(ies) and check all that apply:

* 4. Birthdate (see example below)
April
20
1995