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INFO FOR:
SUMMER SCHOLARS PROGRAM ONLINE APPLICATION
Required questions are marked with an (*).
* Your first program preference Broadcast Journalism Business Engineering - Track A (CAE and MAE) Engineering - Track B (BME and EEN) Filmmaking Forensic Investigation Health and Medicine - Infectious Diseases: An Investigation and Challenges Health and Medicine - Introduction to Psychiatry and Behavioral Sciences Health and Medicine - Introduction to Neuroscience International Relations Marine Science Sport Administration Sports Medicine
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 10, 2013
* I am applying to be a:
Residential Student
Commuter Student
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: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980
* E-mail:
* Gender: Female Male
T-Shirt size: (S-XXL) S M L XL 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:
* Mother/Guardian Name:
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:
* Zip/Postal code:
Counselor's name:
Counselor phone:
* Grade completed as of June 2013: 10 11 Other
G.P.A. Unweighted:
G.P.A. Weighted:
Please submit your responses for the following essay prompts in the text box 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
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:
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.
