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Name of Parent(s) you live with
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Expected Graduation Year Select 2018 2019 2020 2021 Last school day this spring (MM/DD/YY)
When is your school’s first day in the 2018-2019 academic year. (MM/DD/YY)
Date-Of-Birth (MM/DD/YY)
Gender Select Male Female Ethnicity (choose most descriptive option) Select White (Not of Hispanic Origin) Hispanic Asian African American American Native or Alaskan Pacific Islander
Are you an Indiana 21st century scholar? Select Yes No Don't Know Click for 21st century scholar info
Have you ever been part of MEPI, the Minority Engineering Program of Indianapolis? If NO, only answer 'no'. If YES, please describe the events participated in and the dates.
Have you ever been enrolled in the NOBCChE's CPA program (College Prepatory Academy)? If NO, only answer 'no'. If YES, please describe the events participated in and the dates.
Have you ever been enrolled in any of the CLD courses?(Center for Leadership Development) If NO only answer 'no'. If YES, please describe the courses you took and list the dates.
Have you been part of any summer programs at IUPUI like INDA Nanotechnology, NEST, MEAP Engineering or any others? If NO, only answer 'no'. If YES, please describe your participation events and dates.
Have you ever participated in the Summer of Service program at any of the IU Health Network hospitals such as University, Methodist, Riley or others? If NO, only answer 'no'. If YES, please describe your participation events and dates.
Summer Transportation: How will you get from home to your internship location this summer: Select I will drive Family will drive Friends will drive I will take bus I will walk/bike I don't know
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.