Broad Summer High School Scholars

MSU COLLEGE OF EDUCATION

SUMMER HIGH SCHOOL SCHOLARS

PROGRAM APPLICATION

Summer 2014

Monday, July 7 – Friday, August 1, 2014 (11th Grade Only)

Friday, July 18 – Friday, August 1, 2014 (9th and 10th Grades)

The MSU College of Education Summer High School Scholars Program is a residential program on the campus of Michigan State University, offering a four-week college experience for current 11th graders and two weeks for current 9th and 10th graders. During this academic college preparation program, all travel, lodging, and meal expenses are covered for students selected to participate in the program. The program is open only to current 9th-, 10th-, and 11th-grade students and is intended to increase college readiness, as well as nurture an interest in careers in education. Students who participated in the 2013College of Education Summer High School Scholars Program are encouraged to re-apply for participation in the 2014 program.

Application is due by Thursday, May 1, 2014.

Date: ______

Student Name: ______

Date of Birth: _____/_____/_____ Age: ______Gender: ____ Male ____ Female

Parent/Guardian Name(s): ______

Home Address: ______

City:______State:______Zip:______

Phone:( ) _____ - ______E-mail Address:______

High School you currently attend: ______

Current grade level: ______Current high school grade point average:______

(You must attach a current copy of your high school transcript.)

PLAN Score (if taken): ______

Are you a member of a Young Educator’s Society (YES) club?  YES NO

If yes, please provide the name of your YES club advisor: ______

Please rate your interest in attending Michigan State University. (circle one)

Please rate your interest in pursuing a career in teaching. (circle one)

Have you had any experiences in which you worked with a young person or with youth?

 YES NO

If yes, please describe:______

______

______

______

How did you hear about the program? (check all that apply)

___ 2013College of Education Summer High School Scholars Program Participant

___School Counselor

___ MichiganStateUniversity Representative

___College of Education Scholarship Website

___ Family Member

___ Other School Representative

___ Other (Please Specify) ______

ETHNIC/RACIAL GROUP (optional – check all that apply)

1. White/Caucasian Non-Hispanic 

2. Black/African American Non-Hispanic 

3. Chicano/Mexican American

4. Hispanic 

5. American Indian/Alaskan native Tribal Affiliation 

6. Asian/Pacific Islander (Asian American) 

Please attach a written statement (300 words or less) in response to the following question:

“Why are you interested in attending the College of Education High School Scholars Program on the campus of Michigan State University?”

Required Signatures:

Student Signature: ______

Parent/Guardian Signature: ______

School Representative Signature:______

Please return all of the following application materialsby
Thursday, May 1, 2014:

CHECK-LIST

___ Signed Application

___ Completed Recommendation Form

___ Copy of Transcript

___ Essay

PLEASE RETURN COMPLETED APPLICATION TO:

Dr. Sonya Gunnings-Moton

Michigan State University

Erickson Hall

620 Farm Lane, Room 518

East Lansing, MI 48824

Email:

(517) 432-5093

Fax: (517) 353-6393

MSU College of Education

SummerHigh School Scholars Program

School Representative

RECOMMENDATION FORM

The MSU College of Education Summer High School Scholars Program is a residential, academiccollege preparation program on the campus of Michigan State University (four weeks for current 11th-grade students and two weeks for current 9th- and 10th-grade students). All travel, lodging, and meal expenses are covered for selected students as part of program participation. The program is intended to increase college readiness, as well as nurture an interest in careers in education.

Students seeking to participate in the program are required to submit the following recommendation form as a part of their application. Upon completion, we request that you return this form to the student in a signed, sealed envelope to be included with all other application materials, which are due to the program coordinator by Thursday, May 1, 2014.Please return the completed form to student in time for mailing to arrive at MSU by that date.

Thank you,

College of Education

Summer High School Scholars Program

Name of Student:______

Name of School Representative:______

Title of School Representative:______

Address:______

Phone: ( ) ____ - ______Email Address: ______

1. Knowledge of student (check all that apply):

___ Student in my class ___ Advisee ___ Other (please specify): ______

2. Considering all of the students with whom I have worked, this student academically is in the:

___ Top 5% ___ Top 10% ___ Other (please specify): ______

Participants in the Summer High School Scholars Program will be required to reside on the campus of Michigan State University and participate in substantive academic and social skill development activities. Given this expectation, please rate the student’s level of maturity to benefit from such an experience.

___ Above Average ___ Average ___ Below Average

Please describe notable attitudes, interests, skills, or experience of the applicant that you feel are relevant to the aims and goals of the Summer High School Scholars Program.

______

______

______

______

If applicable, please describe any reservations you have about the applicant’s ability to participate in the program.

______

______

______

______

Overall Recommendation:

___ I recommend the applicant without reservation as an excellent candidate for participation in the MSU College of Education Summer High School Scholars Program.

___ On the whole, I recommend the applicant as a good candidate for participation in the MSU College of Education Summer High School Scholars Program.

___ I have some reservations but feel that the applicant is a reasonable candidate for participation in the MSU College of Education Summer High School Scholars Program.

______

Signature Date

1