Project SEED Application: General Information

Name: First   Middle Last*  

Name of Parent(s) you live with

Address

City   ST   Zip

Home Phone:    

Other Phone:  

Student Email:*   

Confirm Email:  

*Please enter your email and confirm on the box above.

High School Name:

High School City:   ST  Zip

High School Phone:   

Expected Graduation Year    Date-Of-Birth (MM/DD/YY)

Gender    Ethnicity (choose most descriptive option)

Are you an Indiana 21st century scholar?    Click for 21st century scholar info

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 in 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 ever been part of programs or summer camps at Indiana University?  If YES, please list and describe the events and your involvement. (Examples include the Informatics camp or the Jim Holland Biology program, and there are many others)
If NO, only answer no. If YES, please describe the vents you participated in and the dates.

Stipend Information: Please Select an option

Option 1: I could ONLY participate if I receive the $2,500 stipend.

Option 2: I  would like to be considered for the $2,500 stipend but I am still interested in participating in this internship program as a volunteer intern if I do not receive a stipend.

Option 3: I am interested in participating in this internship only as a volunteer unpaid intern.

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.