STEP Academic Year Application Form

STEP Academic Year Application Form
Thank you for your interest in the University at Albany's Science and Technology Entry Program (STEP).

Please use this form to apply to the UAlbany STEP Academic Year program. Forms are accepted on a continuous, rolling basis.

Translation of this form in Spanish and French are currently available, and some other languages are available upon request.

This form is secured by UAlbany ITS, and responses will be kept confidential by UAlbany STEP professional staff.

For additional information, please contact the Office of Access & Academic Enrichment (OAAE) at oaae@albany.edu or 518-442-5180.

Contact Information
What is your full name?*

First NameLast Name
What is your date of birth?*

MonthDayYear
Date
What is your email address?*
example@example.com
What is your phone number?*
Please enter a valid phone number.
What is your parent/guardian's full name?*

First NameLast Name
What is your parent/guardian's email address?*
example@example.com
What is your parent/guardian's phone number?*
Please enter a valid phone number.
When you submit this form, your parent/guardian will receive an email with your submission details. That email will ask your parent/guardian to confirm the submission details and that they have authorized the submission of this application.

If your parent/guardian does not select "Confirm" on that email, your application will not be sent to STEP.

Please contact OAAE@albany.edu with any questions or concerns.
What is your current grade in school? (If you're applying in the summer, what will your grade be in the fall?)*

Seventh gradeEighth gradeNinth gradeTenth gradeEleventh gradeTwelfth grade
What school do you currently attend? Please include the school and school district. (If you're applying in the summer, what school will you attend in the fall?)*

Acknowledgements
Student Commitment

Students are expected to always present themselves as future professionals, including in their speech, attitude and behavior. This extends to voice, text and image behavior online in STEP instructional settings, including but not limited to Zoom video conferencing, chats and other online learning platforms.

I understand that continued participation in STEP requires a commitment that I attend tutoring sessions, workshops, field trips, seminars and/or other events.

Participating in UAlbany STEP constitutes a commitment of at least one academic year (July 1 to June 30). I understand I may not participate in any other institution's STEP program during this time.

I understand that my signature on this document constitutes an agreement between the University at Albany and me.
Student's Signature*

Clear
Today's Date*

MonthDayYear
Date
Parent/Guardian Agreement

I give permission for my child to participate in the Science and Technology Entry Program (STEP) at the University at Albany.

I understand that continued participation in STEP requires a commitment that my student attends the tutoring sessions, workshops, field trips, seminars and/or other events.

Participating in UAlbany STEP constitutes a commitment of at least one academic year (July 1 to June 30). I understand that my child may not participate in any other institution's STEP program during this time.

I understand that my signature on this document constitutes an agreement between the University at Albany, myself and my child.
Parent/Guardian Signature*

Clear
Today's Date*

MonthDayYear
Date
Media Release

I hereby give permission to the Science and Technology Entry Program (STEP), its agents, successor and/or assigns permission to use photographs (whether still, motion or television) of my child for publicity regarding UAlbany STEP in newspapers, radio, social media or television.
Parent/Guardian Signature*

Clear
Today's Date*

MonthDayYear
Date
Student Records Release

I give permission for my child to participate in the Science and Technology Entry Program (STEP) at the University at Albany.

I also authorize school and college personnel to release all information pertinent to the referral of my child to the Science and Technology Entry Program (STEP).

It is my understanding that this information may include, but not be limited to, their:
- Most recent report card
- Most recent attendance record
- Transcript
- Recommendation from a math or science teacher or a guidance counselor
- Most recent standardized test scores
- New York State Student Information System ID Number (NYSSIS ID).
This authorization shall remain in effect for the period that my child participates in STEP. I understand that all information will be kept confidential.
Parent/Guardian Signature*

Clear
Today's Date*

MonthDayYear
Date
Consent to Release Free or Reduced-lunch Eligibility Information

School officials may release information that shows that my child is eligible for free or reduced-price meals or free milk to UAlbany STEP. I understand that the information will only be provided to UAlbany STEP.

I understand that I will be releasing information that will show my child is eligible for free and reduced-price meals or free milk. I give consent to release my confidential information for the above-named program only.

I certify that I am the parent/guardian of the child for whom the free/reduced price application was made.
Parent/Guardian Signature*

Clear
Today's Date*

MonthDayYear
Date
By clicking the “Submit” button, I consent to be contacted via email.
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