TULANE SCIENCE SCHOLARS PROGRAM (TSSP)

2014 SUMMER 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: Arrange for your science or math teacher (or guidance counselor) to send your school transcript, teacher recommendation form, and a letter of recommendation either by email, mail, or fax to the address above. The letter of recommendation form is available here.

The cost of each summer course is $1250. Fees are due upon acceptance into the program. Need-based tuition waivers may be available. 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.

STUDENT INFORMATION

First Name:    Middle Name:    Last Name:
2014/15 Academic Year Grade Level:            Sex:
 
Which courses are you interested in applying for? (Click here for a complete description of the classes)
CENG 2510: Introduction to Biotechnology    NSCI 1015: Basic Neuroscience with Laboratory
PHYS 1015: Materials Science and Engineering    PSYC 1100: Exploring Psychology
 
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 necessary in order to register with Tulane University and receive course credit.
Citizenship:            If Other, please enter Country of Citizenship:
Birthdate:     format: MM/DD/YYYY
 
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.
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:

COMMENTS:

max: 250 characters

Acceptance will be announced April 18, 2014.