Summer Scholars 2022

Name*

First Last

Date of birth

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

School*

Year in school*

Full name of primary parent/guardian*

First Last

Primary parent/guardian phone*

Full name of other parent/guardian

First Last

Other parent/guardian phone

I certify that the statements in this application are true and that all essay responses below represent my own work.

Signature*

The Summer Workshop will be hybrid - half in person / half virtual. Vaccination is mandatory and masking is required when inside the building

Are you a new student?

Do you have a computer?*

Yes
No

If yes, what kind?

Are you interested in programming?*

Yes
No

Applicant Signature*

Parent / Guardian Signature*

How did you learn about the program?

Carefully read each of the following. Write a response that addresses each point in a direct and insightful manner. There is no word limit for your responses, but they should be concise and to the point.

For each of the following state specifically what you have done to demonstrate competence. Use specific examples to support general statements. Remember, there are no right or wrong answers, and please do your own work. (Questions adapted from a form used by City Honors School.)

1. What have you done outside your school curriculum that shows initiative? Explain the difficulties you encountered and how you handled them.

2. What ideas or devices have particularly attracted your attention? What have you done about them? What have you learned from them?

3. Have you ever made an observation or discovery that was exciting and new to you? What was it, and how did it come about? Describe the circumstances surrounding the discovery or observation.

4. What have you done that demonstrates your scientific attitude? Explain your approach to solving a problem? Do you “try it and see”?

5. Explain your educational goals. What do you hope to accomplish during your high school years, and how does this relate to your “big picture”? Do you have specific academic areas of interest for college and/or graduate school? Related to these goals, what would you like to be doing 10 years from now?

6. Explain why you would like to participate in this science research program at the Hauptman-Woodward Medical Research Institute. What qualities do you feel make you an attractive candidate? Give specific examples.

Please check this box if you believe you are eligible for a registration fee waiver based on your household income.

Attendance Fee

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New Student Application Fee

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$0.00

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The Summer Workshop will be hybrid - half in person / half virtual. Vaccination is mandatory and masking is required when inside the building

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