Young Engineers and Scientists Application Form for High School Students

Name
FirstLast
Birth Date*
Grade level in 2012-13 academic year
Current Cumulative GPA
School Name*
School Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal Code
Phone (home)
Cell Phone
Email*
Permanent Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal Code
Intended College Major
Check research area interested in
- Biotechnology
- Genetics
- Bioinformatics
- Chemistry
- Engineering (other)
If engineering, specify other
Essay*
Briefly state, in an essay form in no more than 500 words: Why you are interested in participating in the program. The specific objectives you hope to accomplish during your internship experience and your reason for choosing the particular research area. Your future goals and what you hope to learn from the research experience. Whether there is a particular mentor you would like to work with or a particular area within your chosen research field.
List all science, math, and technology courses you have taken that would be a good preparation for this internship.*
Phone
This field is for validation purposes and should be left unchanged.