CISTAR Young Scholars 2019
Which CISTAR site are you applying for *
Last Name *
First Name *
Middle Name
Street *
City *
State *
Date of Birth *
Email *
Phone *
High School *
High School City *
High School State *
High School Phone *
Ethnic Background (select at least one) *
Year of High School Fall 2019
Who do you live with? Please provide name and relationship. *
Emergency contact *
If accepted what is your expected form of transportation to campus this summer? *
Are there any dates (June 17-July 26) that you will not be able to attend? *
If yes, please state the date and the reason. *
Do you qualify for free/reduced lunch at your school? *
What is the highest math class you have taken? *
What chemistry classes you have taken? *
What are some of the most exciting things you have learned in your mathematics, science and/or engineering classes? *
What are your college plans?
Will you be a first generation student (the first person in your family who attends college)? *
As of right now, what are your top two career choices? *
What goals do you hope to accomplish this year? *
How do you think you will benefit from the CISTAR Young Scholar’s summer research experience? *
What extracurricular, athletic, community, church, volunteer or paid activities have you participated in during your High School years? *
Tell us about your activity in any STEM clubs, competitions, independent reading, research internships or home school projects. *
Previous employment *
How did you find out about the CISTAR Young Scholars program? *
Please upload a current transcript. (Your school guidance counselor will be able to give you this.) *
Thank you for your application. Remember to ask a teacher to submit a recommendation form to
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