2017 ODASIS Summer Prep Program Application
Sunday, June 25, 2017 to Friday, July 28, 2017

How to apply for the 2017 Summer Prep Program:

Step 1: Complete this application (include your personal statement).

Step 2: Take Rutgers University placement exam by Friday, June 9th, 2017. Directions on how to take your placement test can be found at: https://goo.gl/RlxMnZ. All Placement tests are conducted online via Sakai. Make sure to complete both the math AND English placement tests. We strongly encourage you to complete the practice problems found in the Placement Test Information Bulletin (https://oirap.rutgers.edu/Bulletin.pdf). You must place into Math 135 (Calculus) AND English 101 (Expos) to be eligible for this program.

Step 3: Have one (1) letter of recommendation from a Math teacher e-mailed to Nesbey@DLS.rutgers.edu

Step 4: Have one (1) letter of recommendation from a Science teacher e-mailed to Nesbey@DLS.rutgers.edu

Applications must be received by Friday, June 9th

*EOF students are not eligible due to summer scheduling conflicts*

GENERAL INFORMATION
First Name *
Your answer
Last Name *
Your answer
RUID # (if you know it)
Your answer
Sex *
Your Age on June 26, 2017 *
Your answer
School Within Rutgers *
Home Address (Street) *
Your answer
Home Address (City) *
Your answer
Home Address (State) *
Your answer
Home Address (Zip Code) *
Please an an apostrophe before any zeros. For example: '08901
Your answer
Racial/Ethnic Self Description (Check Only One that applies) *
Required
Country of Citizenship *
Your answer
Visa Type *
Write "N/A" if not applicable
Your answer
Student Cell Phone Number *
Your answer
Student Home Phone Number *
Your answer
Email Address (Non-Rutgers) *
Your answer
EDUCATIONAL HISTORY
Name of High School *
Your answer
SAT Total Score *
Your answer
SAT Critical Reading Score *
Your answer
SAT Math Score *
Your answer
ACT Score (if applicable)
Your answer
High School GPA *
Your answer
High School Rank *
Your answer
EMERGENCY CONTACT INFORMATION
Emergency Contact - Last name *
Your answer
Emergency Contact - First name *
Your answer
Emergency Contact - Home Phone Number *
Your answer
Emergency Contact - Cell Phone Number *
Your answer
Emergency Contact - Email Address *
Your answer
What is your relationship to the emergency contact you listed? *
Your answer
OTHER INFORMATION
Are you a CARR Scholar? *
Do you have any college credit for chemistry? *
What is the date of your Rutgers placement test? *
MM
/
DD
/
YYYY
Please list all the Science and Math courses you have taken in high school (Specify AP classes): *
Your answer
Extracurricular Activities: *
Your answer
What is your current/intended major? *
Your answer
What are your career goals? *
Your answer
Please e-mail a one page essay to lor-khan@dls.rutgers.edu. The essay should be single-spaced and address why you would like to participate in this program and how it will benefit you. *
Required
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