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1 ENGINEERING PATHWAYS Program Application Applicant Information Full Name: Date: First Last M.I. Address: Street Address Apartment/Unit # City State ZIP Code Email Education Graduation Date: Standardized test taken High School Name: High School GPA (unweighted) ACT/SAT Composite Score High School GPA (weighted) ACT English/SAT Evidence-Based Reading and Writing Subscore ACT/SAT Math Subscore AP Exams YES NO Have you completed or do you plan to complete any Advanced Placement (AP) exams prior to enrolling in Engineering Pathways. Exam: Score Exam: Score Exam: Score Exam: Score If yes, please list AP exams you plan to take this academic year Exam: Score Exam: Score Exam: Score Exam: Score YES NO Student ID number Phone: Are you a citizen of the United States? Select your Engineering Pathways college: Exam: Score Exam: Score List here any college credit you have received, including dual credit. College Name Course Name Grade College Name Course Name Grade If yes, please list AP exams you have already taken and the KNOWN score for each.

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Page 1: ENGINEERING PATHWAYSEngineering Physics Industrial Engineering Materials Science and Engineering Mechanical Engineering Nuclear, Plasma, and Radiological Engineering Systems Engineering

1

ENGINEERING PATHWAYS Program Application

Applicant Information

Full Name: Date: First Last M.I.

Address: Street Address Apartment/Unit #

City State ZIP Code

Email

Education

Graduation Date:

Standardized test taken

High School Name:

High School GPA (unweighted)

ACT/SAT Composite Score

High School GPA (weighted)

ACT English/SAT Evidence-Based Reading and Writing Subscore ACT/SAT Math Subscore

AP Exams YES NO Have you completed or do you plan to complete any Advanced Placement (AP) exams

prior to enrolling in Engineering Pathways.

Exam: Score Exam: Score

Exam: Score Exam: Score

If yes, please list AP exams you plan to take this academic year

Exam: Score Exam: Score

Exam: Score Exam: Score

YES NO

Student ID number

Phone:

Are you a citizen of the United States?

Select your Engineering Pathways college:

Exam: Score Exam: Score

List here any college credit you have received, including dual credit.

College Name Course Name Grade

College Name Course Name Grade

If yes, please list AP exams you have already taken and the KNOWN score for each.

Page 2: ENGINEERING PATHWAYSEngineering Physics Industrial Engineering Materials Science and Engineering Mechanical Engineering Nuclear, Plasma, and Radiological Engineering Systems Engineering

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Essay Questions

Describe any particular experiences you have had that led to your interest in studying engineering.

Discuss a setback or failure you have experienced—how you handled it, how it affected you, and lessons learned.

Page 3: ENGINEERING PATHWAYSEngineering Physics Industrial Engineering Materials Science and Engineering Mechanical Engineering Nuclear, Plasma, and Radiological Engineering Systems Engineering

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Why are you a good candidate for the Engineering Pathways program?

Reflect on something you would like the admissions committee to know about you.

Page 4: ENGINEERING PATHWAYSEngineering Physics Industrial Engineering Materials Science and Engineering Mechanical Engineering Nuclear, Plasma, and Radiological Engineering Systems Engineering

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Engineering Pathways admits all students to the program as Undeclared. This presents an excellent opportunity to begin coursework and explore the engineering disciplines prior to declaring a major at time of transfer.

At this time, in which majors do you have an interest? (Check all that apply.) Aerospace Engineering Agricultural and Biological Engineering Civil Engineering Computer Engineering Computer Science Electrical Engineering Engineering Mechanics Engineering Physics Industrial Engineering Materials Science and Engineering Mechanical Engineering Nuclear, Plasma, and Radiological Engineering Systems Engineering and Design I don’t know

Demographic Questions

The questions in this section are optional. While not required, the information is useful in providing a more holistic view of the applicant.

1. Sex:

2. Select an ethnic identification:

3. Select one or more racial identifications:

4. What is the primary language spoken in your home?

5. Are you a first generation college student?A first-generation college student is defined as a student whose parent(s)/legal guardian(s) have not completed a

bachelor's degree.YES NO

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Pacific IslanderWhite

Page 5: ENGINEERING PATHWAYSEngineering Physics Industrial Engineering Materials Science and Engineering Mechanical Engineering Nuclear, Plasma, and Radiological Engineering Systems Engineering

Review

Please review all your answers carefully as no changes may be made after submission. Incomplete applications will not be reviewed.

By clicking this box I agree the information provided in this application is true and correct to the best of my knowledge. I also understand that high school transcripts must be sent to complete this application. I acknowledge that all relevant information will be shared between Illinois and the participating community college.

Submit

Please send this application as an attachment to [email protected] by March 15, 2019.

High school transcripts must include all courses taken, grades received, and courses in progress (including Fall 2018 grades, and Spring 2019 schedules). Transcripts can be sent electronically to [email protected] or via mail to the following:

Engineering Pathways College of Engineering 206 Engineering Hall 1308 W. Green Street Urbana, IL 61801

Note: Any admission offers will be contingent upon Spring 2019 grades.