BROAD SUMMER HIGH SCHOOL SCHOLARS

advertisement
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
Download