MPS Summer Biotechnology Program Application
@NYC Jun 2-9, @Seoul Jun 10-21, 2019
Student Information
NOTE: This program is only open to female students entering 9th grade through entering college.
Last Name *
Your answer
First Name *
Your answer
Preferred Name (if any)
Your answer
Date of Birth *
MM
/
DD
/
YYYY
School Name *
Your answer
Grade (current) *
Home Address *
Street, City, State ZIP Code
Your answer
Contact Phone Number *
Your answer
Email *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email *
Your answer
Ethnicity *
Required
Which country's passport do you currently hold? (visa) *
Your answer
Application Information
Select Session *
Check all applicable
Required
Housing Options (NYC only)
What fields of study are you interested in pursuing in college and beyond? *
Indicate N/A if you have not thought about it.
Your answer
Why do you think you would be a good candidate for this program? (250 words max) *
Your answer
What most excites you about this program? (250 words max) *
Your answer
Is there anything else you would like to tell us about yourself?
Your answer
Will you be applying for financial aid for this program? (need-based only and limited; will require documentation to be submitted at a later time)
How did you hear about MPS BioTech Summer Program? *
Please have your science teacher submit a recommendation letter via email to sahn@missporters.org
Please have the recommender include your full name in the subject line of email (e.g., Recommendation for Jane Doe)
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