BAER2

Please answer all questions below to assure that your application will be processed

Yes, I would like to participate in the
BAER2 program

   Did either of your parents (guardians) graduate from college?

I am currently a participant in the
BAER2 program		   Ethnic Group  
Name  
White Hispanic African American
Asian American Indian Other
Address   Please check all schools attended/attending
City State Zip    Sterling High School    Lee High School   Lee College UHCL
Phone   If at UHCL anticipated date
of graduation from UHCL
Email Address   My certification level is