CSTEP Application

Student Eligibility:
1. New York state resident
2. Full time college or graduate student
3. African-American, Hispanic/Latino, American Indian or Alaskan native
4. If you are not African-American, Hispanic/Latino, American Indian or Alaskan native, you can qualify as an economically disadvantaged student. Please refer to this chart.

Upon completing this initial application and submission, you’ll get an email for the following documents, so please make sure you start obtaining them:
1. Current College Transcript (unofficial transcript is acceptable)
2. Current class schedule or course registration
3. Signed Letter of Recommendation (from a Professor, Supervisor, Counselor, or other non-family member who can speak to your character and potential success in our program)
4. Document verifying household income (i.e., IRS 1040 forms)

* denotes a required field.

Application Deadline: November 17, 2017

Application for:*




















Ethnicity:*





Sex:*

Education:

Are you a first generation college student?*


Are you a transfer student? If so, which institution?*













Parental Information:






Have you ever participated in any of the following State-sponsored programs?








If you participate in any of the above programs at your school, please give:


NOTE: Being a member of CSTEP at another College does not preclude you from participating in SUNY Optometry’s CSTEP Internship Program.

Have you ever had your eyes examined by an optometrist?*

Have you ever spoken to an optometrist about his/her profession?*

In 500 words or less, please write an essay answering the following question: