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College of Science
Science Building 1228
Richmond, KY 40475
Phone: 859-622-1405
Fax:
science@eku.edu

Application Form

In order to complete your application you are required to provide:

1. An essay which answers each of the questions below. The recommended length of the essay is a minimum of 250 words and a maximum of 300 words and must be in MS Word or pdf format.

What areas of science interest you the most and why?
Why are you motivated to become a leader in science?
How will your attendance at Science and Math camp benefit you and your community?

2. Name and email of a teacher or high school counselor that will provide you with a recommendation to attend SOLUTIONS! Camp staff will contact the teacher or counselor for the recommendation.

Last Name: *

First Name: *

Middle Initial:

Gender: *

Ethnicity:

If other, please list:

Current Address

Address (Line 1): *

Address (Line 2):

City: *

County of Residence: *

State: *

Zip Code: *

Date of Birth (dd/mm/yyyy): *

Phone:

Email Address:

Academic Status of 2021-2022 School Year: *

High School Junior

High School Senior

Overall Cumulative GPA: *

Are you interested in pursuing a degree in a STEM related field?: *

Yes

No

Undecided

Name of High School Attending: *

City and State of High School Attending: *

Name of Teacher/High School Counselor Providing Recommendation: *

Email of Teacher/High School Counselor Providing Recommendation: *

Parent/Guardian Information

Parent/Guardian First and Last Name: *

Parent/Guardian Address (if different from above):

Parent/Guardian Phone: *

Parent/Guardian Email: *

Emergency Contact Information (if other than Parent/Guardian)

Emergency Contact Name:

Emergency Contact Phone:

Essay Questions

Each applicant is required to provide an essay which answers each of the questions below. The answer to each question should be a minimum of 250 words and a maximum of 300 words and must be in MS Word or pdf format.

What areas of science interest you the most and why?
Why are you motivated to become a leader in science?
How will your attendance at SOLUTIONS! Science and Math camp benefit you and your community?

When your essay is completed, please upload it in the space provided below.

Upload Essay (MS Word or PDF formats ONLY): *

Leave this field blank:

Events

May

21

Fri

Application Deadline

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