Name * Date of Birth * Year Year197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Mailing Address Address * City * State * State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Phone * E-mail * High School * Student Agreement Student Signature * Student Agreement * The information provided here is true and accurate to the best of my knowledge. I am willing to provide additional information, if requested. Parent/Guardian Agreement Parent/Guardian Signature * Parent/Guardian Agreement * The information provided here is true and accurate to the best of my knowledge. I am willing to provide additional information, if requested. REQUIRED SUPPLEMENTAL APPLICATION MATERIALS Statement of engineering interest * Tell us about your interest in electrical engineering or electrical engineering technology and how this program can help you reach your personal, academic, and career goals. Specifically, be sure to mention any interest or experience you have had with electronics and microelectronics.Files must be less than 2 MB.Allowed file types: pdf doc docx. Teacher Recommendation * Include email address of teacher you would like to request a recommendation from. An email will be automatically generated to your teacher requesting their recommendation. Please ensure the address you enter is correct. List of extracurricular activities and leadership roles at school or in the community * List your activities in this way: Name, date or date range, brief description. Current HS transcript listing senior year courses Please attach a copy of your high school transcript that lists your senior year courses (an unofficial transcript is acceptable). If you are not able to obtain a copy to upload, please request your counselor to send your transcript directly to scbrozina@ysu.eduFiles must be less than 2 MB.Allowed file types: pdf doc docx. APPLICANTS SHOULD ALSO HAVE: Applied for undergraduate admission to YSU Completed the Free Application for Federal Student Aid (FAFSA) YSU Foundation Scholarship Application (Priority deadline Feb. 1 but accepted on a rolling basis. All applicants are encouraged to apply even after the priority deadline has passed.) Leave this field blank