Rutgers Learning Communities — Science Success Fast Track

Science Success Fast Track — Non-Residential Program Application

Students must complete the application form below.

Important! Your application will be reviewed and confirmation of placement into the program will be by July 15, 2009.

RUID:
First Name:	Last Name:	Gender:
Home Address:	City/State/Zip:
E-mail Address:
Home Phone:	Cell Phone:

Have you submitted your housing application and deposit?

What is your intended major or academic area of interest?

Indicate which STAR (Students in Transition, Advising & Registration) day you will be attending:

Tell us why you are interested in the Science Success Fast Track Program:

Please read and check the box next to each of the following statements. Checking the box indicates that you have read, understand, and agree to the conditions stated.

	I understand that I will be provided with a special registration number by the Office of Learning Communities and the Office of the Registrar for the special section of the required Students in Transition Seminar (STS) that is a part of the Science Success Fast Track Commuter program.
	A specific number of seats are held in this special section of the Students in Transition Seminar for Science Success Fast Track participants only. I understand that if I choose to drop this course I will no longer be a part of this learning community.

Ghada Endick
Director of Learning Communities
Academic Engagement and Programming
Office of Undergraduate Education
Bishop House
115 College Avenue
Phone: 732-932-7442
E-mail: rulc@echo.rutgers.edu
http://rulc.rutgers.edu/