2015 UMKC Summer Scholars Program Application

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "2015 UMKC Summer Scholars Program Application"

Transcription

1 INSTRUCTIONS: PLEASE COMPLETE THIS FORM IN INK OR TYPE Name: Address: City/State: Zip Code Phone No.: ( ) Male: Female: Grade in School as of Sept. 2015: ADDRESS: (Required--will be used to notify you of the decision) High School Attended: Parents name(s) Address (if different than above) City/State Zip code Jacket Size: Height: Weight What group best describes your race/ethnicity? American Indian Caucasian African American Multiracial Asian Hispanic/Latino Southeast Asian Immigrant (Cambodian, Vietnamese, Laotian) Other (Identify) Citizenship Are you a U.S. citizen? Yes No If no, what is your country of citizenship? Are you a U.S. permanent resident? Yes No

2 If yes, please provide your card number: Date of issue: 2015 UMKC Summer Scholars Program Page 2 NOTE: Availability (Please check mark the appropriate response(s).) I am available to attend all Summer Scholars classes during the period of July 13 th to July 31. Yes No (if No, see below) My vacation plans conflict with the program dates July 13 July 31, I have enrolled in a program that may be a schedule conflict. Other Science Preparation Please check the courses you have taken previously. Basic Chemistry Anatomy/Physiology Advanced Chemistry (AP or IB) ACT Preparation Have you taken the ACT or SAT? Yes No Do you consider yourself an advanced science student? If so, are you willing to participate in daily chemistry enrichment and review? Yes No What courses have been difficult for you, if any? Interest in medicine and health careers: Please indicate how interested you are in pursuing a career in medicine: Extremely interested Interested Somewhat interested Undecided

3 Do you have an interest in other health careers? If so, please indicate your interests below: Nursing Dentistry Pharmacy Psychology/counseling 2015 UMKC Summer Scholars Program Page 3 1. Write a statement expressing your reasons for wanting to be in the Summer Scholars Program. Include your general goals and career ambitions. I want to participate in the Summer Scholars Program because

4 Page Four 2. Significant School Activities (student government, athletics, clubs, tutoring, etc.) 9 th grade: 10 th grade: 11 th grade: 3. Offices held 9 th grade: 10 th grade: 11 th grade: 4. Community Contributions (health-related experiences, volunteer work, scouts, youth groups, etc.) 9 th grade: 10 th grade: 11 th grade: 5. Summer Activities (travel, institutes, camp, etc.) 6. Employment (full and part-time -- with dates) 7. Current Hobbies and Leisure Time Interests

5 Page Five Parental Permission I have reviewed my child s application for the UMKC Summer Scholars Program, and as his/her parent or guardian, I give my permission for him/her to participate in the program s activities on the Hospital Hill campus. Summer Scholars Outcomes Project: I also give permission for my child or members of the family to be contacted in the future for the purpose of tracking future career choices and outcomes. Parent/Guardian Signature Date Transcript Release Permission I hereby give my permission for a copy of a transcript of my grades and standardized test scores to be sent to the UMKC Summer Scholars Selection Committee. Parent/Guardian Signature Date Note: Return this application to your guidance counselor as soon as possible. THE APPLICATION DEADLINE TO GET THE APPLICATION TO YOUR COUNSELOR IS APRIL 27, 2015.

6 Page Six C O N F I D E N T I A L TO BE COMPLETED BY MATH OR SCIENCE INSTRUCTOR The following is my assessment of concerning his/her aptitude for careers in the health sciences: Name: Title: NOTE: THE APPLICATION DEADLINE TO GET THIS TO THE COUNSELOR IS Promptly return this form to the Guidance Counselor who will send the completed application materials to: Kenneth Beene Summer Scholars Program UMKC School of Medicine 2411 Holmes Kansas City, Missouri

7 Page Seven C O N F I D E N T I A L TO BE COMPLETED BY GUIDANCE COUNSELOR The following is my assessment of Concerning his/her aptitude for careers in the health sciences: Name: Title: NOTE: THE APPLICATION DEADLINE IS Return this form with the student s completed application, transcript, list of current semester s classes, and math or science instructor s confidential statement to: Kenneth Beene Summer Scholars Program UMKC School of Medicine 2411 Holmes Kansas City, Missouri

Application

Application 2018-2019 Application The Oakland ACE Program application process is in three parts: 1. OCC Application for Admission Form, Authorization to Release Information Form, and Survey (submitted by March 1)

More information

Beaverton School District. AVID (Advancement Via Individual Determination) Application Packet Please return the completed packet to

Beaverton School District. AVID (Advancement Via Individual Determination) Application Packet Please return the completed packet to Beaverton School District AVID (Advancement Via Individual Determination) Application Packet 2015-16 Please return the completed packet to the Main Office by January 23rd STUDENT: Please complete the following

More information

Application for Fall 2018 Early College Admission

Application for Fall 2018 Early College Admission LYNDON Application for Fall 2018 Early College Admission What We Look For In an Applicant A Challenging High School Program Advanced Placement (AP), college prep, and honors courses are recommended but

More information

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science Application must be completed in black or blue ink only. Name: First Middle Last STUDENT INFORMATION Social Security # - - Address: Apt.# Phone: ( ) City: State: Zip Code: Date of Birth: Place of Birth:

More information

SI Bridges to the Baccalaureate Program SIU Carbondale John A. Logan College Shawnee Community College

SI Bridges to the Baccalaureate Program SIU Carbondale John A. Logan College Shawnee Community College SI Bridges to the Baccalaureate Program SIU Carbondale John A. Logan College Shawnee Community College What is the SI Bridges to the Baccalaureate? The Southern Illinois Bridges to the Baccalaureate Program

More information

Our site shares information about the Scholars Program and your required level of commitment 2. Check your eligibility

Our site shares information about the Scholars Program and your required level of commitment 2. Check your eligibility ABOUT THE SEO SCHOLARS PROGRAM The Sponsors for Educational Opportunity (SEO) Scholars Program is a rigorous academic enrichment program that enables motivated San Francisco public high school students

More information

UW-Waukesha Pre-College Program. College Bound Take Charge of Your Future!

UW-Waukesha Pre-College Program. College Bound Take Charge of Your Future! UW-Waukesha Pre-College Program College Bound 2017 Take Charge of Your Future! This is a great program to increase your knowledge on various subjects. Students will be engaged in workshops and hands-on

More information

Student Application Packet

Student Application Packet Student Application Packet Facts About Upward Bound... Application... High School Counselor Information.. English Teacher Recommendation. Math Teacher Recommendation Science Teacher Recommendation.. Upward

More information

2015 LILLY ENDOWMENT COMMUNITY SCHOLARSHIP APPLICATION

2015 LILLY ENDOWMENT COMMUNITY SCHOLARSHIP APPLICATION 2015 LILLY ENDOWMENT COMMUNITY SCHOLARSHIP APPLICATION Administered by This is a 2 part application Part I - Financial Information to be completed FIRST Due in your Guidance Office by Monday 11/17/2014

More information

Application for Admission Essay Guideline Counselor Recommendation

Application for Admission Essay Guideline Counselor Recommendation Application for Admission Essay Guideline Counselor Recommendation APPLYING FOR ADMISSION TO MARIETTA COLLEGE What We Consider Marietta College seeks students who are prepared to meet the challenge of

More information

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science

California State University, Los Angeles TRIO Upward Bound & Upward Bound Math/Science Application must be completed in black or blue ink only. STUDENT INFORMATION Name: Social Security # - - First Middle Last Address: Apt.# Phone: ( ) City: State: Zip Code: Date of Birth: Place of Birth:

More information

Junior Academy of Medical Sciences A Middle School Health Professions Preparatory Academy ADMISSION APPLICATION Deadline: April 5, 2016

Junior Academy of Medical Sciences A Middle School Health Professions Preparatory Academy ADMISSION APPLICATION Deadline: April 5, 2016 Delhi Unified School District A College-Going Culture Junior Academy of Medical Sciences A Middle School Health Professions Preparatory Academy ADMISSION APPLICATION 2016-2017 Deadline: April 5, 2016 (Late

More information

Environmental Science Scholarship An Air & Waste Management Association Scholarship

Environmental Science Scholarship An Air & Waste Management Association Scholarship Environmental Science Scholarship An Air & Waste Management Association Scholarship Application for Entering, Currently Enrolled, and Transfer Students Deadline: Applications must be postmarked no later

More information

Montefiore s Health Opportunities Program (Monte-HOP) Summer Internship Program Application Deadline: April 14, 2017

Montefiore s Health Opportunities Program (Monte-HOP) Summer Internship Program Application Deadline: April 14, 2017 Montefiore s Health Opportunities Program (Monte-HOP) Summer Internship Program Application Deadline: April 14, 2017 Please read application package in its entirety. Program Description: The Montefiore

More information

Upward Bound Application

Upward Bound Application Last Name: First Name: MI: Address: City: State: Zip Code: Home Phone #: Student Cell #: Age: Birthdate: Female: Male: Are you a citizen of the United State? Yes No Student s Email: If, No : Permanent

More information

DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION

DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION DO SOMETHING! Become a Youth Leader, Join ASAP. HAVE A VOICE MAKE A DIFFERENCE BE PART OF A GROUP WORKING TO CREATE CHANGE IN EDUCATION The Coalition for Asian American Children and Families (CACF) is

More information

Environmental Science Scholarship

Environmental Science Scholarship Gulf Coast Chapter An Air & Waste Management Association Scholarship Application for Entering, Currently Enrolled, and Transfer Students Deadline: Applications must be postmarked no later than May 25,

More information

Ohio Association for College Admission Counseling Charles L. Warren Memorial Heritage Scholarship 2015

Ohio Association for College Admission Counseling Charles L. Warren Memorial Heritage Scholarship 2015 2015 Scholarship Information The is awarded by the Ohio Association for College Admission Counseling each year to outstanding high school seniors. The scholarship is a one-time $1,500 award. CRITERIA FOR

More information

STEP Application Checklist

STEP Application Checklist 2017-2018 STEP Application Checklist Be sure to complete all required sections of your child s application before submitting it to the STEP Office for processing. Failure to do so will delay his/her acceptance

More information

Upward Bound Application for Admission

Upward Bound Application for Admission Upward Bound Application for Admission Dear Applicant: The Upward Bound (UB) program at Central Carolina Community College is a federally-funded educational program which provides FREE services to high

More information

College Name Regular Decision I Early Decision I. I am applying for the term beginning Restrictive Early Action Early Action

College Name Regular Decision I Early Decision I. I am applying for the term beginning Restrictive Early Action Early Action Melbourne college application FirstYear Admissions Application This form is developed for, and is to be used by, the members of the Melbourne College Application. All members evaluate this form equally

More information

Deadline: December 18, 2015 (Must be postmarked by this date)

Deadline: December 18, 2015 (Must be postmarked by this date) Upward Bound & Upward Bound Math Science Programs Undergraduate Academic Affairs Lucy Stone Hall A316 Rutgers, The State University of New Jersey 54 Joyce Kilmer Avenue Piscataway, NJ 08854-8070 https://access.rutgers.edu

More information

Applicant Information. Year of Enrollment: Term of Enrollment: Fall Term Spring Term CITY STATE ZIP CODE COUNTRY

Applicant Information. Year of Enrollment: Term of Enrollment: Fall Term Spring Term CITY STATE ZIP CODE COUNTRY Freshman Application Requires: Completed application with $35 application fee Official Copy of High School Transcript Official SAT I or ACT Scores Guidance Counselor/Teacher Recommendation Personal Essay

More information

FACT SHEET PROGRAM DESCRIPTION

FACT SHEET PROGRAM DESCRIPTION UPWARD BOUND FACT SHEET PROGRAM DESCRIPTION EMU Upward Bound is a highly successful college-prep program of rigorous academic instruction, individual tutoring and counseling, and cultural exploration for

More information

Skagit Valley College TRIO Student Support Services Program Application

Skagit Valley College TRIO Student Support Services Program Application Skagit Valley College TRIO Student Support Services Program Application Legal Name: (Last) (Middle) (First) SVC Student ID Number: - - Birthdate Gender Male Female Mailing Address: Street City State Zip

More information

WESTERN KENTUCKY UNIVERSITY

WESTERN KENTUCKY UNIVERSITY WESTERN KENTUCKY UNIVERSITY Dear Parent/Guardian: The following pages contain the application and information forms necessary for your child to begin the application process for the Upward Bound program.

More information

Department of Medicine Hospice & Palliative Medicine Fellowship Application

Department of Medicine Hospice & Palliative Medicine Fellowship Application Instructions Application for Admission Fellowship Program The New York Hospital Queens Hospice and Palliative Medicine Fellowship Program welcome applicants from Internal Medicine and Family Medicine.

More information

2014 Dartmouth Bound: Native American Community Program Application

2014 Dartmouth Bound: Native American Community Program Application Dartmouth College Office of Admissions 2014 Dartmouth Bound: Native American Community Program Application http://admissions.dartmouth.edu/dartmouth-bound-programs/ APPLICATION INSTRUCTIONS & CHECKLIST

More information

Application for Admission

Application for Admission LOWER SCHOOL Application for Admission 10 Buckingham Street, Cambridge, MA 02138 phone: 617-800-2471 lsadmission@bbns.org www.bbns.org/applications lower school application for admission Key Dates & Deadlines

More information

Brooks College Prep Transfer Application Instructions 2016

Brooks College Prep Transfer Application Instructions 2016 Thank you for your interest in Gwendolyn Brooks College Prep. Please fill out all information below. Incomplete applications will not be considered. Due to the high volume of transfer requests, families

More information

MITE Application 2016

MITE Application 2016 MITE Application 2016 Multiethnic Introduction to Engineering (MITE) program 2016 On-line Application MITE (rising seniors) July 5-August 6, 2015 (Administrative Fee: $3700.00) Application Deadline: March

More information

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone:

APPLICANT INFORMATION. Area Code: Phone: Area Code: Phone: MARQUETTE UNIVERSITY HEALTH CAREERS OPPORTUNITY PROGRAM College Science Enrichment Program (CSEP) & Pre-Enrollment Support Program (PESP) Website: http://www.mu.edu/hcop INSTRUCTIONS: Please type or print

More information

DUE DATE: November, 2017 Turn in completed application(s) to the TRIO Upward Bound mailbox in the Main Office. STUDENT APPLICATION

DUE DATE: November, 2017 Turn in completed application(s) to the TRIO Upward Bound mailbox in the Main Office. STUDENT APPLICATION DUE DATE: November, 2017 Turn in completed application(s) to the TRIO Upward Bound mailbox in the Main Office. STUDENT APPLICATION PREPARING FUTURE COLLEGE GRADUATES SINCE 1966 40 Education Sciences Bldg

More information

Upward Bound. TRiO Programs

Upward Bound. TRiO Programs Upward Bound TRiO Programs ABOUT US Upward Bound (UB) is a TRiO program funded by a grant from the Department of Education. Our program works with students from three target high schools in the cities

More information

TRiO Talent Search Program Hampton University P.O. box 6183 Hampton, VA 23666

TRiO Talent Search Program Hampton University P.O. box 6183 Hampton, VA 23666 TRiO Talent Search Program Hampton University P.O. box 6183 Hampton, VA 23666 Talent Search is a FREE college bound program, designed to assist students in grades 6 through 12 to graduate from high school

More information

Kansas Academy of Mathematics & Science

Kansas Academy of Mathematics & Science Kansas Academy of Mathematics & Science Dear Student, On behalf of the Kansas Academy of Mathematics and Science (KAMS) staff, I want to express our appreciation for your interest in our program. You will

More information

Presents. FOCUS, an Educational Talent Search Project

Presents. FOCUS, an Educational Talent Search Project Presents. FOCUS, an Educational Talent Search Project 2017-2018 What is FOCUS / Educational Talent Search? The Talent Search Program (FOCUS) identifies qualified youths with potential for education at

More information

Application for Admission

Application for Admission First-Year and Transfer Student Application for Admission Tougaloo College Tougaloo, MS 39174 Telephone: 601-977-7768 Your Passport to Success Application Procedures Apply online at /admission/apply. First-Year

More information

COTILLION FOR ACHIEVEMENT SCHOLARSHIP $1,800 FOR ONE YOUNG MAN AND ONE YOUNG WOMAN $900 TO EACH REMAINING FINALIST

COTILLION FOR ACHIEVEMENT SCHOLARSHIP $1,800 FOR ONE YOUNG MAN AND ONE YOUNG WOMAN $900 TO EACH REMAINING FINALIST 2017-18 COTILLION FOR ACHIEVEMENT SCHOLARSHIP $1,800 FOR ONE YOUNG MAN AND ONE YOUNG WOMAN $900 TO EACH REMAINING FINALIST The Cotillion for Achievement is a Scholastic Benefit Organization formed for

More information

UPWARD BOUND PROGRAM Elizabeth City State University Elizabeth City, North Carolina 27909

UPWARD BOUND PROGRAM Elizabeth City State University Elizabeth City, North Carolina 27909 UPWARD BOUND PROGRAM Elizabeth City, North Carolina 27909 STUDENT APPLICATION PLEASE READ CAREFULLY: All questions must be answered in order for the application to be processed. The requested information

More information

PART 1: Student Information. Student Name: Date of Birth: Age: First Middle Last MM/DD/YYYY. Home Address: Number Street Apartment

PART 1: Student Information. Student Name: Date of Birth: Age: First Middle Last MM/DD/YYYY. Home Address: Number Street Apartment Achieve at Noble and Greenough School Application for Current 6 th Grade Students PART 1: Student Information Priority Deadline: February 10, 2017 Final Deadline: March 3, 2017 Student Name: Date of Birth:

More information

INSPIRE Scholarship Application

INSPIRE Scholarship Application INSPIRE Scholarship Application The INSPIRE Scholarship was created by the Community Foundation of Elkhart County to improve the quality of life for Elkhart County residents by providing educational opportunities.

More information

The Bridge Project. General Instructions: Please mark your reponse by filling in the appropriate square. q. 1. Your gender: q male q female

The Bridge Project. General Instructions: Please mark your reponse by filling in the appropriate square. q. 1. Your gender: q male q female The Bridge Project General Instructions: Please mark your reponse by filling in the appropriate square. q 1. Your gender: q male q female 2. Your grade level: q 9th q 10th q 11th q 12th 3. How many siblings

More information

Lexington Clinic Foundation Scholarship Program Guidelines 350 Elaine Drive, Suite 100 Lexington, Kentucky 40504

Lexington Clinic Foundation Scholarship Program Guidelines 350 Elaine Drive, Suite 100 Lexington, Kentucky 40504 Lexington Clinic Foundation Scholarship Program Guidelines 350 Elaine Drive, Suite 100 Lexington, Kentucky 40504 Named in honor of Fergus Hanson, Lexington Clinic s second and longest-serving administrator,

More information

UPWARD BOUND PRE-COLLEGE PROGRAM APPLICATION FOR ADMISSION

UPWARD BOUND PRE-COLLEGE PROGRAM APPLICATION FOR ADMISSION UPWARD BOUND PRE-COLLEGE PROGRAM APPLICATION FOR ADMISSION Upward Bound Pre-College Program One Camino Santa Maria St. San Antonio Texas 78228-8589 (210) 436-3206 FAX (210) 431-5068 PLEASE TYPE OR LEGIBLY

More information

CAMP Application. Housing Requested: Yes No If Yes, Date Housing was requested: / / TAMIU Admissions Application

CAMP Application. Housing Requested: Yes No If Yes, Date Housing was requested: / / TAMIU Admissions Application CAMP Application College Assistance Migrant Program (CAMP) Texas A&M International University 5201 University Boulevard Laredo, Texas Phone: (956) 326 3161 Fax: (956) 326 2699 Email: camp@tamiu.edu Web:

More information

Northeast Credit Union Scholarship Application

Northeast Credit Union Scholarship Application Northeast Credit Union Scholarship Application DESCRIPTION This scholarship is for students who have demonstrated a strong commitment to their academic studies while participating in a variety of school

More information

UNDERGRADUATE APPLICATION CAU. learnleadchange CLARK ATLANTA UNIVERSITY

UNDERGRADUATE APPLICATION CAU. learnleadchange CLARK ATLANTA UNIVERSITY CAU learnleadchange UNDERGRADUATE APPLICATION CLARK ATLANTA UNIVERSITY GUIDELINES & INSTRUCTIONS CAU GENERAL INFORMATION Students seeking admission to Clark Atlanta University must submit an application

More information

UPWARD BOUND 2011 Application

UPWARD BOUND 2011 Application UPWARD BOUND 2011 Application TRIO programs, funded under Title IV of the Higher Education Act of 1965, help students overcome social, academic and cultural barriers to higher education. Form SouthArkUBA2007

More information

DUAL ENROLLMENT ADMISSIONS APPLICATION. You can get anywhere from here.

DUAL ENROLLMENT ADMISSIONS APPLICATION. You can get anywhere from here. DUAL ENROLLMENT ADMISSIONS APPLICATION SM You can get anywhere from here. Please print or type: DUAL ENROLLMENT APPLICATION Last Name First Name Maiden/Middle Social Security # Local Address (include apt.

More information

ALBANY MEDICAL COLLEGE SCIENCE AND TECHNOLOGY ENTRY PROGRAM

ALBANY MEDICAL COLLEGE SCIENCE AND TECHNOLOGY ENTRY PROGRAM 2016-2017 ALBANY MEDICAL COLLEGE SCIENCE AND TECHNOLOGY ENTRY PROGRAM Application Forms A New York State Education Department funded program Place Current Student Photo here Marva Richards MPH Albany Medical

More information

STEM SET SCHOLARSHIP APPLICATION

STEM SET SCHOLARSHIP APPLICATION STEM SET SCHOLARSHIP APPLICATION To apply for the STEM SET Scholarship you must: 1. Be a STEM major: BTD, CIS, LAB, LACH, LAEP, NRD 2. Be enrolled full-time (12+ credits) 3. Have a current FAFSA on file

More information

THE UNIVERSITY OF NORTH CAROLINA AT PEMBROKE AND EAST CAROLINA UNIVERSITY BRODY SCHOOL OF MEDICINE EARLY ASSURANCE SCHOLARS PROGRAM APPLICATION FORM

THE UNIVERSITY OF NORTH CAROLINA AT PEMBROKE AND EAST CAROLINA UNIVERSITY BRODY SCHOOL OF MEDICINE EARLY ASSURANCE SCHOLARS PROGRAM APPLICATION FORM THE UNIVERSITY OF NORTH CAROLINA AT PEMBROKE AND EAST CAROLINA UNIVERSITY BRODY SCHOOL OF MEDICINE EARLY ASSURANCE SCHOLARS PROGRAM THE UNIVERSITY OF NORTH CAROLINA AT PEMBROKE NORTH CAROLINA HEALTH CAREERS

More information

STUDENT APPLICATION 1

STUDENT APPLICATION 1 STUDENT APPLICATION 1 Dear prospective participant: The Rock, The River, The Tree: University of San Diego TRiO Upward Bound is an educational and multicultural learning community of students who want

More information

Educational Travel Experience Application

Educational Travel Experience Application Educational Travel Experience Application Space Camp (grades 6-8) Due November 1 Explore Wisconsin (grades 6-7) Due February 1 Wisconsin 4-H & Youth Conference (grades 7-10) Due February 1 What you will

More information

Student Application Information: Academic Year. Thank you for your interest in Oakland Early College!

Student Application Information: Academic Year. Thank you for your interest in Oakland Early College! Student Application Information: 2017-2018 Academic Year Thank you for your interest in Oakland Early College! OAKLAND EARLY COLLEGE 27055 Orchard Lake Road Farmington Hills, Michigan 48334 oaklandearlycollege.org

More information

COLLEGE OPPORTUNITIES PROGRAM (COP) University of Hawai i at Mānoa (UHM) 2010 Summer Residential College Experience July 5, 2010 to August 13, 2010

COLLEGE OPPORTUNITIES PROGRAM (COP) University of Hawai i at Mānoa (UHM) 2010 Summer Residential College Experience July 5, 2010 to August 13, 2010 COLLEGE OPPORTUNITIES PROGRAM (COP) (UHM) 2010 Summer Residential College Experience July 5, 2010 to August 13, 2010 WHAT IS COP? COP provides an alternative pathway for individuals who desire to attend

More information

Post Secondary Enrollment Options. (PSEO application)

Post Secondary Enrollment Options. (PSEO application) Post Secondary Enrollment Options (PSEO application) www.normandale.edu 952-358-8200 9700 FRANCE AVENUE SOUTH, BLOOMINGTON, MN 55431-4399 revised 03-13 WHO IS ELIGIBLE FOR THE POST-SECONDARY ENROLLMENT

More information

Making a long standing commitment to education and investing in future leaders

Making a long standing commitment to education and investing in future leaders Ronald McDonald House Charities U.S. Scholarship Program 2010 2011 application Making a long standing commitment to education and investing in future leaders Application deadline January 28, 2011 www.rmhc.org

More information

Spring 2016 Application

Spring 2016 Application Baruch STEP Academy Spring 2016 Application (Intro to Research Methods class pictured above) baruchstep@gmail.com www.baruch.cuny.edu/step Baruch STEP Academy Dear STEP Applicant/Parent, We are delighted

More information

APPLICATION SUFFIELD REGIONAL AGRISCIENCE Suffield High School. Mechanics. Application due no later than the second week in January

APPLICATION SUFFIELD REGIONAL AGRISCIENCE Suffield High School. Mechanics. Application due no later than the second week in January APPLICATION SUFFIELD REGIONAL AGRISCIENCE CENTER @ Suffield High School Animal SciencE Plant Science Natural Resources Agricultural Mechanics Application due no later than the second week in January APPLICATION

More information

High School Dual Enrollment Admission Application Form

High School Dual Enrollment Admission Application Form High School Dual Enrollment Admission Application Form Dual Enrollment: A Head Start on College. Mount Wachusett Community College offers multiple concurrent enrollment programs. Whether in high school

More information

STEP. The Science and Technology Entry Program at Lincoln Center

STEP. The Science and Technology Entry Program at Lincoln Center STEP The Science and Technology Entry Program at Lincoln Center STEP is the recipient of the National Science Foundation Presidential Award for Excellence in Science, Mathematics and Engineering Mentoring.

More information

Baruch STEP Academy Spring 2018 New Student Application

Baruch STEP Academy Spring 2018 New Student Application Baruch STEP Academy Spring 2018 New Student Application (STEM Lecture Series class pictured above) my Dear STEP Applicant/Parent, We are delighted that you are inquiring about the Science and Technology

More information

Tarrant County College Northwest Campus Cornerstone Honors Degree Scholarship

Tarrant County College Northwest Campus Cornerstone Honors Degree Scholarship The Eagle Mountain-Saginaw ISD Education Foundation Scholarship Overview: Tarrant County College Northwest Campus Cornerstone Honors Degree Scholarship Application Deadline: April 2, 2018 The EMS ISD Education

More information

Upward Bound Application

Upward Bound Application Upward Bound Application This is the application for the University of Iowa Upward Bound Project for the 2017-2018 academic year. Upward Bound can only accept complete applications. In order for your application

More information

INSTRUCTIONS FOR COMPLETING THE SCHOLARSHIP APPLICATION

INSTRUCTIONS FOR COMPLETING THE SCHOLARSHIP APPLICATION 2015 NATIONAL YOUTH LEADERSHIP FORUM ON MEDICINE-HOUSTON/GALVESTON SCHOLARSHIP APPLICATION The Texas A&M University System Health Science Center College of Medicine INSTRUCTIONS FOR COMPLETING THE SCHOLARSHIP

More information

2017 Admission Application

2017 Admission Application 2017 Admission Application DEAR PARENT OR GUARDIAN: What would you say if we were to offer your child over $10,000 worth of free services to help him or her succeed in school and get ready for college?

More information

BETA THETA, ESA, Scholarship CLERMONT, FLORIDA

BETA THETA, ESA, Scholarship CLERMONT, FLORIDA BETA THETA, ESA, Scholarship CLERMONT, FLORIDA A deserving high school senior from East Ridge High School, South Lake High School, and Lake Minneola High School will each be awarded $1,500 from Beta Theta

More information

Osteopathic Medicine Pathway Program

Osteopathic Medicine Pathway Program Osteopathic Medicine Pathway Program Students interested in a career as a physician are invited to apply for admission to the New Mexico State University Burrell College of Osteopathic Medicine* Osteopathic

More information

TRIBAL COLLEGE RET (RESEARCH EXPERIENCE FOR TEACHERS) PROGRAM SUMMER 2016 APPLICATION FORM (DUE March 18, 2016) APPLICANT'S CONTACT INFORMATION

TRIBAL COLLEGE RET (RESEARCH EXPERIENCE FOR TEACHERS) PROGRAM SUMMER 2016 APPLICATION FORM (DUE March 18, 2016) APPLICANT'S CONTACT INFORMATION TRIBAL COLLEGE RET (RESEARCH EXPERIENCE FOR TEACHERS) PROGRAM SUMMER 2016 APPLICATION FORM (DUE March 18, 2016) Please print or type. Please check where appropriate: Male Female U.S. Citizenship: Yes No

More information

Pennsylvania Legislative Black Caucus Scholarship Program

Pennsylvania Legislative Black Caucus Scholarship Program Pennsylvania Legislative Black Caucus Scholarship Program TYPE OR PRINT ALL INFORMATION EXCEPT SIGNATURES. Application postmark deadline April 30, 2018 Completeness and neatness ensures your application

More information

Baker College Cadillac

Baker College Cadillac 2014/2015 Student Application Packet for **Early College of Baker College Cadillac and *The Districts of Charlevoix/Emmet ISD Completed applications are due back to your high school counselor by April

More information

OKLAHOMA GROCERS EDUCATION FOUNDATION

OKLAHOMA GROCERS EDUCATION FOUNDATION OKLAHOMA GROCERS EDUCATION FOUNDATION APPLICATION PROCEDURE Applications may be typed or handwritten, must be completed in full, and be accompanied by the required documentation. Remember that the applicant

More information

UPWARD BOUND PROJECTS

UPWARD BOUND PROJECTS UPWARD BOUND PROJECTS CALIFORNIA STATE UNIVERSITY, CHICO This application is valid for the CSU, Chico. Upward Bound is a federally funded TRIO program. There is no cost to participate. Upward Bound is

More information

Riverside Sheriffs Association Student Scholarship Program

Riverside Sheriffs Association Student Scholarship Program Riverside Sheriffs Association Student Scholarship Program THE PROGRAM Riverside Sheriffs Association and the Riverside County Deputy Sheriff Relief Foundation established a scholarship program to assist

More information

Junior Leadership Oakland

Junior Leadership Oakland Junior Leadership Oakland JUNIOR LEADERSHIP OAKLAND is the place that encourages and empowers young adults to develop their full potential through three, full-day interactive workshops. WHETHER YOU KNOW

More information

BRIAN TERRY FOUNDATION SCHOLARSHIP PROGRAM ACADEMIC YEAR

BRIAN TERRY FOUNDATION SCHOLARSHIP PROGRAM ACADEMIC YEAR BRIAN TERRY FOUNDATION SCHOLARSHIP PROGRAM 2017-2018 ACADEMIC YEAR PROGRAM OBJECTIVES The Brian Terry Foundation is a nonprofit organization formed to honor the memory of fallen U.S. Border Patrol Agent,

More information

MS in Genetic Counseling Application Procedure

MS in Genetic Counseling Application Procedure MS in Genetic Counseling Application Procedure Early applications are highly encouraged. The following are required for a complete application: 1. Register for the Genetic Counseling Admissions Match through

More information

1 PERSONAL INFORMATION

1 PERSONAL INFORMATION HIGHLINE COLLEGE International Student Application 1 PERSONAL INFORMATION Please select: New Student Transfer Student Returning Highline College Student (SID): Family/Last Name: First/Given Name: Middle

More information

ARE YOU A POTENTIAL E.M.E.R.G.E. SCHOLAR? (Engaging McNair Scholars in Excellence, Resilience, and Graduate Education)

ARE YOU A POTENTIAL E.M.E.R.G.E. SCHOLAR? (Engaging McNair Scholars in Excellence, Resilience, and Graduate Education) ARE YOU A POTENTIAL E.M.E.R.G.E. SCHOLAR? (Engaging McNair Scholars in Excellence, Resilience, and Graduate Education) The University of Illinois at Urbana-Champaign TRIO Ronald E. McNair Scholars Program

More information

SCHOLARSHIP PROGRAM 2018

SCHOLARSHIP PROGRAM 2018 SCHOLARSHIP PROGRAM 2018 A good leader inspires people to have confidence in the leader, a great leader inspires people to have confidence in themselves. -Eleanor Roosevelt In 2012 Cabela s created its

More information

Upward Bound Lyndon State College, Lyndonville, VT (802)

Upward Bound Lyndon State College, Lyndonville, VT (802) Upward Bound Lyndon State College, Lyndonville, VT 05851 (802)626-5000 Rick Williams, Director Upward Bound at Lyndon State College is a federally funded program through the U.S. Department of Education

More information

Application Form. Full Name: Dawgtag: Date of Birth: Permanent Street Address: City, State, ZIP: Cell Phone #: Address:

Application Form. Full Name: Dawgtag: Date of Birth: Permanent Street Address: City, State, ZIP: Cell Phone #:  Address: Southern Illinois University Honors Program 110 Morris Library, honors.siu.edu, (618) 453-2824, FAX (618) 453-2831, honors@siu.edu Please return your completed form to the University Honors Office in Morris

More information

Application for Admission to

Application for Admission to Office of Admission Graduate School of Social Work University of Denver Craig Hall 2148 South High Street 970.945.1133 www.du.edu/socialwork Application for Admission to The Western Colorado MSW Program

More information

Dear Prospective, International English Language Learning student,

Dear Prospective, International English Language Learning student, Dear Prospective, International English Language Learning student, Thank you for your interest in our University. An International Student Packet is enclosed for your use in gaining admission to our school.

More information

TRANSFER CERTIFICATION

TRANSFER CERTIFICATION Dear Prospective International Student: Thank you for your interest in our University. An International Student Packet is enclosed for your use in gaining admission to our school. We welcome international

More information

Application for Admission

Application for Admission Application for Admission In order for your application to be processed, your file should include the following items along with this completed application form. Some of these documents will be sent to

More information

Application for Admission

Application for Admission Application for Admission Return this application with a non-refundable application fee of $100.00 payable to. Mr. Ms. Mrs. (circle one) of Birth: ID# Applicant s Name: Current : E-mail : Last First Middle

More information

DEADLINE: May 1, 2016

DEADLINE: May 1, 2016 DEADLINE: May 1, 2016 Participation Fee: A fee of $25.00 is required once you have been notified by the coordinator that you have been selected to be a participant of 2016 AHEC Future Health Leaders Summer

More information

Executive Master of Entrepreneurial Real Estate

Executive Master of Entrepreneurial Real Estate THE BLOCH SCHOOL Executive Master of Entrepreneurial Real Estate Application for Admission Thank you for your interest in the Executive Master of Entrepreneurial Real Estate. We look forward to working

More information

STUDENT APPLICATION FORM 2014

STUDENT APPLICATION FORM 2014 STUDENT APPLICATION FORM 2014 July 6 - July 11 and July 13 - July 18, 2014 A Toy Story: Energy in Motion on Earth and in Space Camp Information: The ExxonMobil Bernard Harris Summer Science Camp (EMBHSSC)

More information

2018 CATALYST & CURIE Academies Application

2018 CATALYST & CURIE Academies Application 2018 CATALYST & CURIE Academies Application INSTRUCTIONS While in this application form, you are able to navigate forward and backward throughout the form and edit your responses. You will be asked to

More information

Lilly Endowment Community Scholarship Guidelines

Lilly Endowment Community Scholarship Guidelines Lilly Endowment Community Scholarship Guidelines Lilly Endowment, Inc. designed its Lilly Endowment Community Scholarship Program to raise the level of educational attainment in Indiana and increase awareness

More information

2016/2017 APPLICATION. for admission

2016/2017 APPLICATION. for admission 2016/2017 APPLICATION for admission APPLICATION INSTRUCTIONS Complete this application or the on-line version available at www.villa.edu. Request your official high school transcripts with class rank and

More information

Participant Application

Participant Application Classic Upward Bound Program Math/Psychology Room 007 Baltimore, Maryland 21250 410-455-2700 (voice) 410-455-1062 (fax) Participant Application Upward Bound provides fundamental support to participants

More information

Running Start Application 7/17 updated Have Questions? Call: or

Running Start Application 7/17 updated Have Questions? Call: or Running Start Application 7/17 updated Have Questions? Call: 206-934-3682 or Email: NSCCRStart@seattlecolleges.edu The following items are needed to complete your Running Start application. Each form must

More information

Green Mountain College Make A Difference Scholarship Application

Green Mountain College Make A Difference Scholarship Application Green Mountain College Make A Difference Scholarship Application Thank you for your interest in the Green Mountain College Make A Difference Scholarship. Green Mountain College will be accepting applications

More information