BCAP 2017 Student Application Form

BCAP 2017 Student Application Form

F M

Student Last Name (Please Print) Student First Name Middle Initial Gender

Address City StateZip code

______

Student Phone Number Email Address Date of Birth

Ethnicity:  American Indian or  Asian or  Black or Hispanic  White  Other______

Alaskan Native Pacific Islander African American

Preferred t-shirt size (if selected): XS S M L XL XXL

Please choose which program you would like to apply for:

BCAP Residential Program:June 4th- June 9th

BCAP Experience Day: June 2nd

Both

(Note: If selected, you will be chosen for only one of the two programs)

Parent or guardian Last Name (Please Print) Parent or guardian First Name

Address City State Zip code

______

Parent Preferred Phone Number Email Address

______

High School Name

City State Zip code HS GPA (un-weighted)

Freshman Sophomore Junior Senior

SAT/PSAT Score Year in School

Please fill out the following information with any activities or events that you take part in throughout the week. Please be specific with dates, titles, positions, amount of time spent on each activity, etc. (Additional pages may be attached.)

Volunteer Experience: ______

______

Work Experience: ______

______

Activities: (i.e. sports, clubs, church groups, etc.) ______

______

Honors: (Honor Roll, National Honors Society, etc.) ______

______

Colleges Applying to: (University of Arizona, Arizona State, etc.) ______

______

Planned Major: (Accounting, Marketing, etc.) ______

______

To be considered for BCAP 2017, the information in items 1 through 4must be submitted no later than March 31st, 2017. Please note: if you are applying for Experience Day only, please submit only items 1 and 2 by March 31st.

1.Completed application form(all 3 pages and essay).

2.Short essay: On a separate piece of paper, answer the following question. Please limit your essay response to no more than two pages.

What do you hope to learn/accomplish as a participant in the BCAP program? How does attending this program fit into your future college and career aspirations?

3.Name and contact information (email address is required; phone number would be appreciated) of a teacher and a school counselor, who can attest to your motivation and potential for academic success(Non-Family Related).

4.Copy of your unofficial high school transcripts (electronic copy sent from your high school is acceptable).

I understand that the BCAP 2017 Program is a week-long, supervised residential experience at the UA campus. I also understand the BCAP Experience Day is a one-day program held at UA’s Eller College. If selected to participate in either program, I will adhere to all program requirements and guidelines set by the Eller College of Management and the University of Arizona.

Student SignatureDate

Parent or Guardian SignatureDate

Please contact Rob Stussie at or Katie Maxwell at ith any questions.

Completed applications may be submitted either via mail, (scan and) email, or in person:

Mailed to: Email (scanned copy): Office Location:

BCAP Program University of Arizona

University of Arizona with “BCAP Application” McClelland Hall

Department of Accounting in the header Room 301

McClelland Hall 301

PO Box 210108

Tucson, AZ 85721-0108

A confirmation email will be sent acknowledging receipt of your application (and if you don’t receive one please contact us).