TULANE SCIENCE SCHOLARS PROGRAM (TSSP)

2015 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: 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 each summer course is $1250. 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.

APPLICATIONS MUST BE RECEIVED BY MARCH 16TH, 2015 AT NOON TO BE ELIGIBLE FOR THE TSSP 2015 SUMMER PROGRAM.

STUDENT INFORMATION

First Name:    Middle Name:    Last Name:
2015/16 Academic Year Grade Level:            Sex:            Graduation Year:
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

COURSE INFORMATION

How many courses in total are you interested in taking? (Note: Some courses overlap. See calendar for dates for each course.)
 
Which courses are you interested in applying for? (Click here for a complete description of the classes.)
EBIO 1231: Exploring Animal Behavior EBIO 1240: Diversity of Reptiles and Amphibians ENGP 1005: Introduction to Electronics with Laboratory
NSCI 1015: Basic Neuroscience with Laboratory PHYS 1015: Materials Science and Engineering PSYC 1100: Exploring Psychology
 
If there is maximum enrollment in each course, what is your first choice?
What is your second choice?
What is your third choice?
Any additional choices can be made in the comments.

HOUSING AND SCHOLARSHIP INFORMATION

Housing rates will depend on how many students live on campus. In Summer 2014, the housing rates were $60/night for a double room and $70/night for a single room. This includes linens.
 
Do you plan to live on campus? Note: A separate housing application will be sent to you.
If yes, how many nights approximately?
 
Are you in need of financial assistance? Note: A separate scholarship application will be sent to you.

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 April 15, 2015.