Name: First Middle Last*
Name of Parent(s) you live with
Address
City ST Zip
Home Phone:
Other Phone:
Student Email:*
Confirm Email:
*Please enter your email and confirm on the box above.
High School Name:
High School City: ST Zip
High School Phone:
Expected Graduation Year Select 2018 2019 2020 2021 Date-Of-Birth (MM/DD/YY)
If accepted, what is your expected form of summer transportation? Select Walk Bus Parent Will Drive I Will Drive A Friend Will Drive Other
Are you an Indiana 21st century scholar? Select Yes No Don't Know Click for 21st century scholar info
1. Discuss some of the math and science classes you have taken in school. What are some of the most fascinating things you have learned?
2. What are your top 2 career choices? It is very common for students to change their mind about their future goals after being in college a year or two, but as of now, what are your top career choices? What are some things you hope to accomplish?
3. How do you think you will benefit from the Project SEED research experience and why do you think the Committee on Project SEED should accept you into this internship program?
4. What are the athletic, extracurricular, community, church, volunteer or paid activities in which you have participated during your high school years? Help us understand what you do in your free time. Please limit your answer to 250 words.