TULANE SCIENCE SCHOLARS PROGRAM (TSSP)

2013-14 ACADEMIC YEAR ONLINE APPLICATION FORM

Instructions:

1. FORM: Completely fill out the form below.

2. ESSAY: Briefly explain why you are interested in the TSSP and how you think you might benefit from the program. You will be able to upload the essay on the next screen with the naming convention LASTNAME_FIRSTNAME_SCHOOL.pdf. If you are unable to upload the essay, please email, mail or fax to:

Dr. Michelle Sanchez
Tulane Science Scholars Program
School of Science and Engineering, Boggs 201
Tulane University
New Orleans, LA 70118
Email: sanchez@tulane.edu
Fax Number: (504) 862-8747

3. TEACHER RECOMMENDATION FORM: Your teacher will be contacted by the TSSP by email after you fill out the name and email address of the teacher writing the letter of recommendation for you.

The cost of the academic year program is $75 per course. Fees are due upon acceptance into the program. Need-based scholarships are available through the generosity of The Bruce J. Heim Foundation. A separate additional application is required and will be sent upon request. If you have any questions regarding this form, please email sanchez@tulane.edu.

COMPLETE APPLICATIONS MUST BE RECEIVED AS SOON AS POSSIBLE TO BE ELIGIBLE FOR THE TSSP 2013-14 ACADEMIC YEAR PROGRAM.

STUDENT INFORMATION

First Name:    Middle Name:    Last Name:
2013/14 Academic Year Grade Level:            Sex:
 
Which courses are you interested in applying for? (Click here for a complete description of the classes, more classes may be added for Spring 2014)
Global Warming: Energy and Atmospheric Change
The Discovery of Time
Psychology as a Science
Explorations in Animal Behavior
 
Hormone Regulation of Behavior and Cells
 
Address:
City:            State:     Zip:
Phone:     format: 504-123-4567
Cell Phone (for emergency contact use only):     format: 504-123-4567
Email Address:   

PARENT INFORMATION

Name:
Phone (if different from above):     format: 504-123-4567
Cell Phone (for emergency contact use only):     format: 504-123-4567
Email Address:   

SCHOOL INFORMATION

School Name:
Address:
City:            State:     Zip:
Name of Teacher Writing Letter of Recommendation:
Teacher Email Address:   

COMMENTS:

max: 250 characters

Acceptance will be announced August 30, 2013.