MSU COLLEGE OF EDUCATION SUMMER HIGH SCHOOL SCHOLARS PROGRAM APPLICATION Summer 2014 Monday, July 7 – Friday, August 1, 2014 (11th Grade Only) Friday, July 18 – Friday, August 1, 2014 (9th and 10th Grades) The MSU College of Education Summer High School Scholars Program is a residential program on the campus of Michigan State University, offering a four-week college experience for current 11th graders and two weeks for current 9th and 10th graders. During this academic college preparation program, all travel, lodging, and meal expenses are covered for students selected to participate in the program. The program is open only to current 9th-, 10th-, and 11th-grade students and is intended to increase college readiness, as well as nurture an interest in careers in education. Students who participated in the 2013 College of Education Summer High School Scholars Program are encouraged to re-apply for participation in the 2014 program. Application is due by Thursday, May 1, 2014. Date: ______________________ Student Name: ________________________________________________ Date of Birth: _____/_____/_____ Age: ______ Gender: ____ Male ____ Female Parent/Guardian Name(s): ________________________________________________ Home Address: __________________________________________________________ City: _________________________________ Phone: ( State: _________ Zip: ____________ ) _____ - ________ E-mail Address: ____________________________ High School you currently attend: __________________________________________ Current grade level: _________ Current high school grade point average: ________ (You must attach a current copy of your high school transcript.) PLAN Score (if taken): _______________ Are you a member of a Young Educator’s Society (YES) club? YES NO If yes, please provide the name of your YES club advisor: __________________________ 1 Please rate your interest in attending Michigan State University. (circle one) No Interest Some Interest Likely Definite Please rate your interest in pursuing a career in teaching. (circle one) No Interest Some Interest Likely Definite Have you had any experiences in which you worked with a young person or with youth? YES NO If yes, please describe: ______________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ How did you hear about the program? (check all that apply) ___ 2013 College of Education Summer High School Scholars Program Participant ___ School Counselor ___ Michigan State University Representative ___ College of Education Scholarship Website ___ Family Member ___ Other School Representative ___ Other (Please Specify) _________________________________________ ETHNIC/RACIAL GROUP (optional – check all that apply) 1. White/Caucasian Non-Hispanic 2. Black/African American Non-Hispanic 3. Chicano/Mexican American 4. Hispanic 5. American Indian/Alaskan native Tribal Affiliation 6. Asian/Pacific Islander (Asian American) Please attach a written statement (300 words or less) in response to the following question: “Why are you interested in attending the College of Education High School Scholars Program on the campus of Michigan State University?” 2 Required Signatures: Student Signature: _________________________________________________________ Parent/Guardian Signature: __________________________________________________ School Representative Signature: ______________________________________________ Please return all of the following application materials by Thursday, May 1, 2014: CHECK-LIST ___ Signed Application ___ Completed Recommendation Form ___ Copy of Transcript ___ Essay PLEASE RETURN COMPLETED APPLICATION TO: Dr. Sonya Gunnings-Moton Michigan State University Erickson Hall 620 Farm Lane, Room 518 East Lansing, MI 48824 Email: gunnings@msu.edu (517) 432-5093 Fax: (517) 353-6393 3 MSU College of Education Summer High School Scholars Program School Representative RECOMMENDATION FORM The MSU College of Education Summer High School Scholars Program is a residential, academic college preparation program on the campus of Michigan State University (four weeks for current 11th-grade students and two weeks for current 9th- and 10th-grade students). All travel, lodging, and meal expenses are covered for selected students as part of program participation. The program is intended to increase college readiness, as well as nurture an interest in careers in education. Students seeking to participate in the program are required to submit the following recommendation form as a part of their application. Upon completion, we request that you return this form to the student in a signed, sealed envelope to be included with all other application materials, which are due to the program coordinator by Thursday, May 1, 2014. Please return the completed form to student in time for mailing to arrive at MSU by that date. Thank you, College of Education Summer High School Scholars Program Name of Student: _________________________________________________________ Name of School Representative: ______________________________________________ Title of School Representative: _______________________________________________ Address: ________________________________________________________________ Phone: ( ) ____ - ________ Email Address: ________________________________ 1. Knowledge of student (check all that apply): ___ Student in my class ___ Advisee ___ Other (please specify): ___________________ 2. Considering all of the students with whom I have worked, this student academically is in the: ___ Top 5% ___ Top 10% ___ Other (please specify): __________________________ 4 Participants in the Summer High School Scholars Program will be required to reside on the campus of Michigan State University and participate in substantive academic and social skill development activities. Given this expectation, please rate the student’s level of maturity to benefit from such an experience. ___ Above Average ___ Average ___ Below Average Please describe notable attitudes, interests, skills, or experience of the applicant that you feel are relevant to the aims and goals of the Summer High School Scholars Program. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ If applicable, please describe any reservations you have about the applicant’s ability to participate in the program. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Overall Recommendation: ___ I recommend the applicant without reservation as an excellent candidate for participation in the MSU College of Education Summer High School Scholars Program. ___ On the whole, I recommend the applicant as a good candidate for participation in the MSU College of Education Summer High School Scholars Program. ___ I have some reservations but feel that the applicant is a reasonable candidate for participation in the MSU College of Education Summer High School Scholars Program. __________________________________________ Signature ____________________________ Date 5