Merit Award Application

First Name:     Last Name: 

Postal Address:

Local Address

  Street (local):          Phone Number: 
               City:                            State:  
       ZIP Code: 
            E-mail:         Parallel Course: 
      Workshop:         Year/Semester: 

Merit Awards are for CSUC AMP students enrolled in Academic Year Workshops.

These awards are bestowed upon those students who exemplify mastery of the course material
by earning a competitive grade. The awards are given in the form of CSUC or Butte College bookstore
certificates. It is possible to apply for more than one award.

 or

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Louis Stokes Alliance for Minority Participation
California State University, Chico
400 West First Street
Chico, CA 95929-0525
530-898-4175

CSU-LSAMP Phase III is funded by the National Science Foundation, under cooperative agreement number HRD 0331537 and the CSU Chancellor’s Office.