Application Form 

You may submit this form online:

MARC USTAR Program
FIU University Park Campus
MARC 344
11200 SW 8th St.
Miami, Florida 33199

To file a complete application, please submit:  

  • A completed application form (See Below)
  • Three (3) letters of recommendation from Professors/Mentors
  • A personal statement describing the reasons for your interest in the MARC USTAR Program.

All supporting documentation may be sent to the address provided above.

 

Student Information

Name (Last, First, Middle):        

Panther ID: 

Gender: Male Female

U.S. Citizen    Resident       Alien # 

Current Mailing Address: 

City: State: Zip Code:  

Telephone :

Ethnicity (Must select one):

Alaska Native
American Indian
Asian
Black
Hispanic
Pacific Islander
White
Other:

Primary Email:         

Secondary Email:

Academic Information

 

Current Major:   

 Second Major:

Minor:

Academic Year:    

Expected Graduation Date:

Degree Objectives:

Graduate/ Professional Interest:

GPA: