2014 MISSOURI SCHOLARS ACADEMY
SCHOLAR QUESTIONNAIRE
Please print clearly.
Name
Preferred Name (if applicable)
E-mail Address (if applicable)
_____Please do not print my e-mail address in the composite directory to be provided to all MSA 2014 participants.
T-shirt Size (circle one)
S
M
L
XL
XXL
Scholar cell phone (if applicable)
(this number will be made available only
to authorized MSA Faculty & Staff)
*****IMPORTANT REMINDERS*****
 Enclose a small color photograph with your name printed on the back and paperclip it to this questionnaire.
A color copy of a driver permit or license photo is perfect.
 Complete the medical release form (available at moscholars.org) and attach a copy of your medical insurance
card.
 Read the Questions and Answers portion of the MSA web site and understand policies that pertain to ALL
Scholars.
I. ACADEMIC MAJOR COURSES (Mornings: Monday-Saturday, 8:30-11:30 or 9:00-12:00)
Please review carefully the descriptions for all academic majors and identify, by placing a number on the
appropriate line, your top four choices (with "1" as the top choice). Every effort will be made to assign scholars to
one of their top four choices.
PLEASE RANK 4 OPTIONS TOTAL FOR YOUR ACADEMIC MAJOR.
_____Biography: Story of a Life
_____Canoes, Cabs, and the French Railroad
_____Farm to Table: Connecting the Dots in Our Complex Food World
_____Great Voices in American Literature
_____Introduction to Philosophy: Great Thoughts Worth Thinking
_____It’s pHun. It’s a gas. It’s Chemistry!
_____It's the End of the World As We Know It
_____Japanese Language and Culture
_____A People’s History: True Stories of Struggle and Change
_____Physics: Wave Fun
_____Sperm and Oocytes and Embryos, Oh my!
_____Stylistic Signatures: A Writing Experience
_____Taking a Chance
_____To Infinity and Beyond
_____Where There’s a Will, There’s a Way: Shakespeare Today
_____You Can’t Do That: Laws, Rights, Prohibitions, and Consequences
II.
ACADEMIC MINOR COURSES (Afternoons: Monday-Friday, 1:30-2:30)
Please review carefully the descriptions for all academic minors and identify, by placing a number on the
appropriate line, your top four choices (with "1" as top choice). Every effort will be made to assign scholars to one
of their top four choices—ordinarily, in a field different from their major.
PLEASE RANK 4 OPTIONS TOTAL FOR YOUR ACADEMIC MINOR.
_____Breaking Bad Laws
_____Easting Reflexively in a Globalized World
_____Future Problem Solving—MSA Style
_____Gaming and Learning
_____Introduction to Philosophy
_____Maps and Territories: Exploring the Religious Landscape
_____Math Imitates Art
_____Mathematical Mazes for the Mind
_____Objection! Exploring the American Legal System
_____Overture, Hit the Lights!: A Critical View of Children’s Media
_____Physics Rocks
_____Puzzles, Games and Problem Solving
_____The Spoken Word: Performance Poetry
_____Under Seal: The Secret Histories of Letters
_____Warning: This Minor Contains Graphic Language
_____What Tourists Don’t Know: A Guide to Exploring the World
_____When Does a Sound Become a Song?
_____Where Did You Get Those Genes? Understanding the Science of Genetics & Genomics
Missouri Scholars Academy Choir
If you wish to be part of the choir, please indicate your approximate voice range. The choir will meet on Monday
and Wednesday afternoons from 4:00-5:30 p.m. _______________________
Religious Services
Please indicate the type of religious services you would prefer to attend. ______________________________
Please return questionnaire, medical release form (available at moscholars.org), and teacher
nomination form, postmarked no later than April 15 to:
Missouri Scholars Academy
University of Missouri
Honors College
210 Lowry Hall
Columbia, MO 65211
e-mail: MOScholarsAcademy@missouri.edu