2020 FRESHMEN CONNECT SUMMER ACADEMY APPLICATION

All completed applications MUST be received by March 16. In order to ensure consideration of your application, the following procedures should be followed:

Complete and submit application form in its entirety;
Attach an essay (not more than one typed page) that explains your motivation for and interest in participating in this summer program. Discuss your career goals and how participation in this program will help you achieve your goals;
Submit two recommendation forms (one from a faculty member/adviser and the other from a mentor or professional who knows you well and is aware of your career goals.) Recommendations must be submitted in a sealed envelope or emailed directly to the program office at asumchpipeline@alasu.edu
Submit an unofficial copy of your transcript.

FAMILY INFORMATION

1. Parent/Guardian Name(s):

2. Address (if different from information in above section):

3. Are you a first generation college student?

Yes

EDUCATIONAL INFORMATION

1. Name of High School Attended:

2. City/State of High School Attended:

3. Dates of attendance (high school):

4. Name of College/University Currently Attending:

5. City/State o f College or University Currently Attending:

6. Dates you have attended current college or university:

7. Major:

8. Minor:

9. Cumulative G.P.A. (as of 5/ 4/19 ):

10. ACT/SAT Score:

11. Number of credit hours earned:

12. Anticipated date of graduation (month/year):

13. List of any leadership, academic, civic honors or recognitions:

14. List any volunteer experiences (include dates and locations):

15. What are your future career goals (please list):

15. What are your future career goals (please list):
	15. What are your future career goals (please list):	Item weight

more items

16. How did you learn about the Summer Academy?

ESSAY

1. Upload a typed (one - page maximum) that explains your interest in and motivation for wanting to participate in the 2019 Summer Academy program.

Upload requirements

MAILING INFORMATION

MCH Pipeline Summer Academy, ATTN: Mrs. Catrina Waters, Alabama State University, College of Health Sciences, John L. Buskey Building, Suite 301 B, P.O. Box 271, Montgomery, AL 36101 - 0271

ACKNOWLEDGEMENT

By clicking "submit" you certify that the information included in this application is true and correct to the best of your knowledge.

Alabama State University (ASU) is accredited by the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC) to award bachelor’s, master’s, education specialist and doctorate degrees. Questions about the accreditation of ASU may be directed in writing to SACSCOC at 1866 Southern Lane, Decatur, Ga., 30033-4097, or by calling 404-679-4500 or by using information available on SACSCOC’s website (www.SACSCOC.org)

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