Men of Color Online Application

Vision for the Men of Color Initiative is to increase the retention and graduation rates of DePaul men of color by providing support, encouragement and resources to help navigate the educational system. By filling out this form you are participating in a powerful opportunity to provide comments, and suggestions about future programs held during Fall 2008.

Personal Information
First Name:		Last Name:
Student ID:
Contact Information
On-Campus Information
Street Address:
City:
State:		Zip Code:
Mobile Phone #:	ex:773-325-7325	Landline Phone #:	ex:773-325-7325
Campus E-Mail
Permanent Information
Street Address:
City:
State:		Zip Code:
Mobile Phone #:	ex:773-325-7325	Landline Phone #:	ex:773-325-7325
E-Mail:
Demographics
Cumulative GPA:		Racial/Ethnic Identity:
First Generation College Student:		Year in school:
College:
Major:
Minor:
Primary Campus:
I am a (Select "Yes" to all that apply)
Egan Scholar:
Former Stars Participant:
Stars Participant:
Stars Mentor:
Other OMSA Affiliation:

Campus & Organizational Involvement
Please list membership in both on and off-campus organizations, including civic, social, service, military, and/or honor societies. Attach an additional page if necessary.
Club/Organization	Position Held (General Member, Executive, etc)	Length of Involvement (Quarters/Years)



Connections to other on Campus resources
Please list other campus resources and office that you are currently affiliated with. For example, University Ministry, Student Support Services, LGBTQA Student Services etc.
Resource/Office	Affiliation	Length of Involvement (Quarters/Years)



Terms and Conditions
In an effort to provide support to males of color at DePaul University, OMSA is committed to providing academic assistance through our Academic Progress Reports and Reaching for Academic Progress processes (R.A.P. Sessions). These consist of the monitoring of your progress at each midterm period and at the end of each quarter along with the potential scheduling of a R.A.P. Session. R.A.P. Sessions provide students an opportunity to connect with an OMSA staff member to discuss their academic progress. I understand that as part of the Male of Color Initiative, the Office of Multicultural Student Affairs will request information from my professors regarding my academic progress. I also authorize the Office of Multicultural Student Affairs to access my grades quarterly during the 2008-09 school year for the purpose of academic progress dialogues and retention research.
By clicking 'Submit' you agree to the above Terms & Conditions