SUMMER SCHOLARS PROGRAM
ONLINE APPLICATION

Required questions are marked with an (*).

A. PROGRAMS OF INTEREST

* Your first program preference

 

* Your second program preference
 

Previous Participation

* Have you participated in the Summer Scholars Program before?
Yes     No
Students may participate in the program more than once, provided a different program is chosen from the previous year.

If 'Yes' what year did you participate and in which program?

Year:

Program:

Application Status: Program fee payment deadline is May 08, 2015

* I am applying to be a:

Residential Student

Commuter Student

B. APPLICANT INFORMATION

Student Information (REQUIRED)

* First name:

Middle initial:

* Last Name:

* Mailing Address:


Apartment/Suite:

* City:

* State

* Country:

 * Zip / Postal Code:

* Home Phone:

Cell Phone:

 * Date of Birth:

* E-mail:

* Gender:

T-Shirt size: (S-XXL)

A SSP T-Shirt is given at orientation

* My parent(s) is(are) employed by the University of Miami:
Yes     No

* Is your native language English?
Yes     No

 

* My permanent address is the same as the one listed above:
Yes     No

If NO, please complete the following:

 

Mailing address 2:

Apartment/Suite 2:

City 2 :

State 2:

Country 2:

 Zip/Postal code 2:

Parent or Guardian Information (REQUIRED)

* Father/Guardian Name:


UM C number (UM employees only):

Work phone:

* Evening phone:

Cell phone:


* E-mail:

* Mother/Guardian Name:


UM C number (UM employees only):

Work phone 2 :

* Evening phone 2 :

Cell phone 2:


* E-mail 2:


Student Citizenship Information (REQUIRED)

* Student Citizenship Information - please check the appropriate box:

United States Citizen

Permanent U.S. Resident

Foreign visitor

If you are a Permanent U.S. Resident -
Alien registration number:



If you are a foreign visitor - Country of Birth:


If you are a foreign visitor - Country of Citizenship:

* Do you presently have a U.S. Visa?
Yes     No


If YES, what type:

When does it expire:

If NO, will you need an I-20?
Yes     No

 

School Information (REQUIRED)

* High School Name:
(Enter "Home Schooled" if applicable.)



High School Mailing Address:

City:

* State:

* Country:

* Zip/Postal code:

 

Counselor's name:

Counselor phone:

* Grade completed as of June 2015:
10     11     Other

G.P.A. Unweighted:

G.P.A. Weighted:

PERSONAL ESSAY

Please submit your responses for the following essay prompts below.

1. Why are you interested in participating in the Summer Scholars Program, and how will participation help you achieve your future goals? (minimum 300 words)

2. If cell phones and computers were outlawed, what do you believe would happen to society? (minimum 300 words)

Did you hear about us?

* How did you hear about the Summer Scholars Program?
Please check all that apply.

Counselor

Past Participant

Direct Mail

Program Directory Listing

Email

Teacher

Facebook

Twitter

Google

UM Representative

Parents

Other

PAYMENT

NOTE: The $75 non-refundable application fee is additional to the final cost. For more information on fees and policies, go to the Program Fees page.
*The information on the application payment should be that of the student, not the parent or guardian.

You will be redirected to a secured site to complete your payment information.

* Preferred Method of Payment
You will be redirected to the payment page after submitting the application.

Check (payable to University of Miami)

Money Order

VISA

MasterCard

Discover

American Express

* Have you ever been disciplined by a student or faculty judicial board for misconduct, or convicted of a crime other than a traffic offense?
Yes     No

If yes, please explain:

STATEMENT OF ACCURACY

I hereby certify that I have personally filled out this application and the information is complete and accurate. I understand that all credentials submitted in support of this application become the property of the University of Miami and are not returnable.

After submitting, a follow up e-mail will be sent to the e-mail addresses indicated on this form with directions on how to submit payment and the remainder of the application materials.