EmailMe Form - BSP Spring 2025 Application

Name *

First Last

Student ID Number *

Have you previously applied to BSP? If so, what semester & year did you apply? *

Current Class Standing *

Freshman

Sophomore

Junior

Senior

Year and semester admitted to UC Berkeley *

(e.g., 2024 Fall)

UC Berkeley email address *

Confirm your UC Berkeley email address

Alternate email address *

Confirm your alternative email address

Racial Group (Please check all that apply) *

Ethnicity

(e.g.,Mexican, Haitian, Japanese)

Please indicate the cultural and/or ethnic background that you identify with if you believe the above categories do not accurately represent it or would like to provide more information than captured above.

What is your date of birth? *

MM / DD / YYYY

What was your sex assigned at birth? *

What is your gender/gender identity? (Check all that apply)

Did you receive a fee waiver in your application to UC Berkeley? *

Yes

No

Decline to State

"Applying for a fee waiver": https://admission.universityofcalifornia.edu/apply-now.html

Did either or both of your parents/guardians obtain a 4-year college degree? *

Both have 4-year college degrees

One has a 4-year college degree

Neither have a 4-year college degree

Decline to State

What is the highest level of education attained by your parent/guardian #1 *

What is the highest level of education attained by your parent/guardian #2 *

High School Name *

High School Zip Code *

Did you transfer from a community college? *

Yes

No

If you did transfer from a community college, please fill in college name, city, and state. (e.g., City College of San Francisco, San Francisco, CA)

SAT or ACT Scores

Please enter the scores you received on the SAT or ACT. If you did not take the SAT or ACT, leave this blank. Your scores are used for data collection purposes only and are not considered as part of the application process.

High School or Transfer GPA *

If you transferred, please enter your community college GPA. Your GPA is used for data collection purposes only and is not considered as part of the application process.

Current UC Berkeley OVERALL GPA

Leave blank if you are an incoming student or a freshman and don't know your current GPA yet. Your GPA is used for data collection purposes only and is not considered as part of the application process.

Current UC Berkeley SCIENCE GPA

Leave blank if you are an incoming student or a freshman and don't know your current GPA yet. Your GPA is used for data collection purposes only and is not considered as part of the application process.

Current Mailing Address (This is the address you receive physical mail at.) *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Permanent Mailing Address (Please enter your permanent mailing address if different from your current residence.)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Preferred Phone Number *

### - ### - ####

Alternate Phone Number

### - ### - ####

Select the status of your major *

Major(s) *

(e.g., Biochemistry, Integrative Biology, MCB, Psychology, Public Health, Math, Engineering)

Career Goal *

(e.g., Scientist, Doctor, Nurse, Biotech, Optometrist, Teacher)

Have you completed John Matsui's MCB 15 course (Current Topics in the Biological Science)? *

Yes

No

If yes, please enter the semester/year

Have you completed John Matsui's IDS 96 course (Studying the Biological Sciences)? *

Yes

No

If yes, please enter the semester/year

Numbers of hours working per week during the academic year *

(e.g., 20 hrs/week)

Please list the courses and amount of units for each course you plan on taking in Spring 2025 (e.g. Chem 1A - 4 units) *

Please check all of the courses below that you are taking during Spring 2025 (the upcoming semester) *

Are you interested in Public Health?

Intended Public Health Major

Declared Public Health Major

Interested in Masters of Public Health

Please list the courses you took at UCB, high school, or community college during Fall 2024 (last semester). If you were not in school, please explain in the answer. *

Please list science courses you have taken in the past.

Please list any science related activities in which you are currently participating.

Please list any science related activities in which you have participated in the past.

How did you hear about this program? (Check all that apply) *

If you were referred by an individual, list the full name and title of the person.

Referrer email address

Indicate if you are a member of/participate in:

Short Essay Questions

Please respond completely and thoughtfully to the following questions, using personal examples whenever possible.

Write your answers in a separate document and then copy and paste them into the boxes so that you will have a copy of your essay submissions after you submit this form.

1) What experience(s) have sparked your passion for science, and what are your long-term aspirations in the field? Why is this meaningful to you? *

300 word maximum

2) In your pursuit of higher education, what significant challenges have you encountered, how have you worked through those challenges, and what motivates you to continue striving toward your goals, despite these obstacles? *

300 word maximum

3) In competitive academic environments, how do you engage with your peers, and what motivates your approach? Please share specific examples from your experience that highlight your values in these interactions. *

300 word maximum

4) What does community mean to you and how do you serve your community? How do you envision continuing your commitment to service in the future? *

300 word maximum

5) How would you describe your strengths, and your areas for growth? Given your strengths and areas for growth, reflect on a time when you became particularly aware of the effect that your behavior, response, or attitude had on someone else. How did you recognize this impact, and how did it shape your subsequent interactions with them or others? *

300 word maximum

6) Describe whether you find it easy or difficult to ask for help. What factors influence your ability to seek help when needed? If asking for help is challenging for you, what steps are you taking to improve in this area? Alternatively, if you are comfortable seeking support, how do you encourage or help others to reach out when they need assistance? *

300 word maximum

7) If there is anything else you would like us to know about you, please include that in the space below.

This is not a required question. 300 word maximum

NOTICE OF MEMBERSHIP REQUIREMENTS -

One of the biggest strengths of BSP is the active participation of its members in support of each other’s success. Some specific minimum membership requirements are listed below, but they just represent a baseline of participation. We require that all applicants review the following expectations of membership before submitting their application.

The mandatory BSP New Student Orientation will take place on Friday, January 31, 2025 from 5-7 PM Pacific Time.

If you are able to attend, type "yes" in the box below.

If you are unable to attend, please state your reason or any concerns you may have below. *

I will attend the BSP events, workshops, and activities to the best of my ability. *

I agree

I will meet with a Program or Peer Advisor during my first semester as a BSP member. *

I agree

I will complete John Matsui's Fall 1-unit IB C96 and Spring 2-unit MCB 15 courses within the first two years of BSP membership. *

I agree

I will contribute to the well-being and maintenance of BSP spaces, both digital and physical. *

I agree

I will follow all rules regarding the protection and maintenance of BSP resources and facilities. *

I agree

RELEASE OF INFORMATION -

I hereby confirm and certify that all of the information above is accurate and truthful to the best of my knowledge and written and submitted by me, the undersigned. I release this information to the Biology Scholars Program and its staff for the purposes of evaluating my application. I understand that the Biology Scholars Program continually monitors and advises the program participants up to and after graduation from UC Berkeley. It is therefore necessary to obtain data on each participant’s academic performance and other participant progress (e.g. application and/or acceptance to professional and graduate programs, etc.). I further understand that the Biology Scholars Program may use the demographic and academic performance information to compile statistical data about its participants for the purpose of evaluating and disseminating the program to its funders and/or the public. My electronic signature below indicates my consent for the use and release of my information for these purposes. Confidentiality will be strictly maintained (Student Rights under the Family Privacy Act of 1974, as amended).

Electronic Signature *

By typing my name, I understand this will be considered my electronic signature and I certify that information contained in this application is true and complete. I authorize the verification of any or all information listed above.

Date Time

MM / DD / YYYY