TULANE SCIENCE SCHOLARS PROGRAM (TSSP)

2014-15 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: tssp@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.

Each course follows one of two formats: 8 contact hours meeting on 2 Saturdays ($100 fee) or 12 contact hours meeting on 3 Saturdays ($150 fee). Fees are due upon acceptance into the program. Need-based scholarships are available through the generosity of The Bruce J. Heim Foundation and an anonymous donor. A separate additional application is required and will be sent upon request. If you have any questions regarding this form, please email tssp@tulane.edu.

COMPLETE APPLICATIONS MUST BE RECEIVED BY DECEMBER 5TH, 2014 TO BE ELIGIBLE FOR THE TSSP 2014-15 ACADEMIC YEAR PROGRAM.

STUDENT INFORMATION

First Name:    Middle Name:    Last Name:
2014/15 Academic Year Grade Level:            Sex:            Graduation Year:
 
Which courses are you interested in applying for? (Click here for a complete description of the courses.)
Hummingbird Behavior: Up Close and Personal ($150)
The Brain on Steroids: How Does It React? ($100)
Why We Get Sick ($100)
Global Warming: Fact or Fiction? ($100)
 
Address:
City:            State:     Zip:
Phone:     format: 504-123-4567
Cell Phone (for emergency contact use only):     format: 504-123-4567
Email Address:   
 
The following information is optional, but would be greatly appreciated, as we can use this information for purposes of securing future grants for the TSSP.
Citizenship:            If Other, please enter Country of Citizenship:
Birthdate:     format: MM/DD/YYYY
Are you Hispanic or Latino?
If you answered No to previous question, please select one or more races from the following five racial groups that best describes your ethnicity:
American Indian or Alaska Native    Asian    Black or African American    Native Hawaiian or Other Pacific Islander    White

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 December 16, 2014.