ARC STEM Center/MESA Community College Program (MCCP)

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Use this form for both enrollment (new student) and re-enrollment (returning student).
If you are a NEW student, please come to the front desk to schedule an interview with a coordinator after submitting this form.

Campus/Student ID # *

First Name *

Middle Name (or initial)

Last Name *

Gender *

Female

Male

Prefer not to say

Trans*

Other:

Ethnic Identification *

African-American

Asian-American

Asian Pacific Islander

African

American Indian or Alaska Native

Hispanic or Latinx

Middle Eastern/Indian

White/Caucasian

Russian/Ukranian/Belarusian

Other:

Phone Number

Email *

Street Address *

City *

State *

Postal Code *

Intended Transfer College(s)—in order of preference *

Intended Major at 4-year Institution *

Aerospace Engineering

Animal Science

Biological Sciences

Biomedical Engineering

Biotechnology

Chemical Engineering

Chemistry

Civil Engineering

Computer Engineering

Computer Science

Electrical Engineering

Engineering (undecided/other)

Environmental Science/Engineering

Geology

Mathematics

Mechanical Engineering

Physics

Pre-Health (including Medical, Dental, etc.)

Other:

Prospective date of transfer (MM/YYYY) *

Did you complete the American River College STEM Center/MESA application last semester? Only answer YES if your application was approved. *

Yes, I need to re-enroll this semester

No, I am new to the ARC STEM Center/MESA

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