LSAMP Application for Participation

Please complete the inquiry form below to express interest in the Northeastern University College of Engineering LSAMP Scholarship.

Please direct any questions to Richard Harris via email at r.harris@northeastern.edu.

Name(Required)

First Last

NU ID#(Required)

Northeastern Email(Required)

Cell Phone#(Required)

College(Required)

Expected Northeastern Graduation Year(Required)

Where did you learn about LSAMP?(Required)

What are your career interests?(Required)

Please describe any research experiences you have had or are currently engaged in:(Required)

Please explain why you would like to be a part of LSAMP(Required)

Gender (In order for the University to obtain appropriate housing, please identify your gender.)(Required)

Male

Female

Other

Are you a US Citizen or Permanent Resident? (Only citizens or permanent residents of the United States of America are eligible for inclusion in the LSAMP program.)(Required)

Yes