Baylor’s University for Young People

Student ApplicationSummer 2018

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General Information for Completing Application

We are delighted that you are interested in applying for admission to Baylor's University for Young People (UYP). UYP is a summer enrichment program for students entering 1st through 12th grade. Students entering grades 1 through 4 can attend the Creative Problem Solving Camp and/or Discovering Ideas with Technology. Students entering grades 4 through 12 can attend one, two, or three of the one-week sessions held on the Baylor campus. For more information or to see a catalog of 2017 summer classes, please visit www.baylor.edu/SOE/UYP. We hope to release the 2018 course catalog complete in April or May 2018.

The application consists of six parts:1. Student Information (to be completed by you and/or your

parents/guardians)2. Parent Checklist (to be completed by your parents/guardians)3. Teacher Checklist (to be completed by your teacher)4. School Information Forms (to be completed by your teacher or testing

coordinator)5. Student Product (to be supplied by you)6. $15.00 application fee to cover the costs of processing the application.

All parts of the application must be on file in our office before your application will be reviewed by our admissions committee.

We do require that all students provide both an achievement test score and an aptitude (IQ) test score that have been taken within the last 2-3 years or documentation of acceptance into your school’s gifted program. If your school is unable to provide one or both of these test scores, we provide testing for a fee. Email the Center at CenterSupport@baylor.edu or call 254-710-2171 for further information or to schedule testing.

The Center does not have a set application deadline. Students can apply at any time during the year. It is advisable to have your completed application to our office by the end of March, if possible. If you have difficulty meeting this time frame, please go ahead and complete the application. We will make every effort to get it reviewed by the time classes begin.

Please note that if accepted to UYP, there is no need to apply again. Annual registration information will automatically be mailed to you.

Center for Community Learning and EnrichmentCenterSupport@baylor.edu

Physical Office: Marrs McLean Sciences #311Mailing Address: One Bear Place # 97282 Waco, Texas 76798-7282

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Phone: 254-710-2171 Fax: 254-710-4909

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University for Young PeopleCenter for Community Learning and Enrichment

Baylor UniversityStudent Application

Directions: Please read carefully and complete all the information with your child. The teacher form will be completed by the teacher and mailed directly to the Center for Community Learning and Enrichment at Baylor.

Fee: Please include a $15 fee with this application for processing.

Name of Student

First Name Last Name Gender: Male/Female

Student email

Type student email here.

Student cell phone

xxx-xxx-xxxx

Date of Birth

mm/dd/yy Grade Fall 2017

Type student's grade in Fall 2017 here.

Current School

Type student's current school here.

School Fall 2017

Type school student will enter in the fall here

Information for Parent/Guardian #1Parent #1 Name

First Name Last Name

Street Address

Type parent/guardian #1 address here.

City, ST, Zip Code

Type parent/guardian #1 city, state, zip code here.

Home or cell phone

Type cell number here: xxx-xxx-xxxx

Other phone

Type home number here:xxx-xxx-xxxx

Email Type parent/guardian #1 email here.Information for Parent/Guardian #2

#2 Name First Name Last NameStreet Address

Type parent/guardian #2 address here.

City, ST, Zip Code

Type parent/guardian #2 city, state, zip code here.

Home or cell phone:

Type cell number here: xxx-xxx-xxxx

Other phone

Type home number here:xxx-xxx-xxxx

Email Type parent/guardian #2 email here.List any brothers and sisters who have attended UYP:

Type brothers and sisters names here.

List activities your child enjoys: Type activities here.

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List honors your child has received: Type honors here.

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University for Young PeopleParent Checklist

Child’s Name First Name Last Name School Type name of child's current school here.

Date of Birth mm/dd/yy School District Type child's current school district here.

Parent’s Name First Name First Name Grade (Fall 2018) Type grade your child will enter in the Fall of 2017.

Check the box next to the number that tells how frequently your child exhibits each characteristic

1 = never; 2 = not very often; 3 = some of the time; 4 = most of the time

My child: 1. Has a good memory. 1☐ 2☐ 3☐ 4☐

2. Is able to learn things quickly and easily 1☐ 2☐ 3☐ 4☐

3. Has an advanced understanding about an area of interest. 1☐ 2☐ 3☐ 4☐

4. Learned how to read, play an instrument, and/or solve math problems at an early age. 1☐ 2☐ 3☐ 4☐

5. Wants to know how and why. 1☐ 2☐ 3☐ 4☐

6. Finds new ways of solving problems. 1☐ 2☐ 3☐ 4☐

7. Is a creative storyteller, artist, and/or performer. 1☐ 2☐ 3☐ 4☐

8. Enjoys puns and/or has a good sense of humor. 1☐ 2☐ 3☐ 4☐

9. Asks many questions and/or takes things apart to see how they work. 1☐ 2☐ 3☐ 4☐

10. Plans and organizes activities for friends or the family. 1☐ 2☐ 3☐ 4☐

11. Likes things to be perfect. 1☐ 2☐ 3☐ 4☐

12. Is sensitive to others. 1☐ 2☐ 3☐ 4☐

13. Has a strong sense of justice--of right and wrong. 1☐ 2☐ 3☐ 4☐

14. Is able to work on something for a long period of time. 1☐ 2☐ 3☐ 4☐

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University for Young People Parent Checklist continued

Type your child's interests and talents here.Describe your child’s interests and talents below. Please share examples that show some of the characteristics on the preceding page.

Has your child been admitted to his or her school Gifted and Talented Program?

☐Yes ☐ No ☐ School does not have GT

Please sign below to indicate your request for your child's school to release additional information, including test scores, to support your child's application.

Type parent/guardian's full name here.

Type current date here.

Parent/Guardian’s Signature Date

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Student Product

Dear Student:

Think about a specialty or talent that you would like to share with us. It might be something that you did at home, at school, in a special class, or at a camp. Be sure to label the product by including your name and why you think that this is an example of your best work.

Products may include:

Recordings of a musical performance or speech Drawings, paintings, or other flat artwork Photos of three-dimensional work Stories, plays, poetry, or other written work Movies, presentations, or other computer-generated work Awards from school-wide or state-wide competitions Scientific or mathematical projects

Please send at least one product and no more than three products.

Return the completed application to:

Center for Community Learning and EnrichmentBaylor University

One Bear Place #97282Waco, TX 76798-7282

CenterSupport@baylor.eduFAX: 254-710-4909

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University for Young PeopleTeacher Checklist

Directions: The following two pages are to be completed by the teacher and, possibly, the testing coordinator. Once completed, please email or mail these pages directly to the Center for Community Learning and Enrichment at Baylor.

Student Name First NameLast Name

School Type the name of your school here.

Teacher First NameLast Name

School District Type the name of your school district here.

Grade/Subject Type the grade/subject you teach here.

Is this a GT class?

Yes ☐ No ☐

What type of GT program(s) does

your school provide?

Type the types of GT programs here.

Does this student participate in them?

Yes ☐ No ☐

Check the box next to the number that tells how frequently the student exhibits each characteristic.

1 = never; 2 = not very often; 3 = some of the time; 4 = most of the time

The student: 1. Has a good memory. 1☐ 2☐ 3☐ 4☐2. Is able to learn things quickly and easily 1☐ 2☐ 3☐ 4☐3. Has an advanced understanding about an area of interest. 1☐ 2☐ 3☐ 4☐4. Learned how to read, play an instrument, and/or

solve math problems at an early age. 1☐ 2☐ 3☐ 4☐5. Wants to know how and why. 1☐ 2☐ 3☐ 4☐6. Finds new ways of solving problems. 1☐ 2☐ 3☐ 4☐7. Is a creative storyteller, artist, and/or performer. 1☐ 2☐ 3☐ 4☐8. Enjoys puns and/or has a good sense of humor. 1☐ 2☐ 3☐ 4☐9. Asks many questions and/or takes things apart

to see how they work. 1☐ 2☐ 3☐ 4☐10. Plans and organizes activities for friends or the family. 1☐ 2☐ 3☐ 4☐11. Likes things to be perfect. 1☐ 2☐ 3☐ 4☐12. Is sensitive to others. 1☐ 2☐ 3☐ 4☐13. Has a strong sense of justice--of right and wrong. 1☐ 2☐ 3☐ 4☐

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14. Able to work on something for a long period of time. 1☐ 2☐ 3☐ 4☐

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UYP Teacher Checklist continuedDescribe the student’s interests and talents below. Share classroom examples that show some of the characteristics on the preceding page.Click or tap here to enter student's interests and talents.

Type teacher's full name here.

Type current date here.

Teacher’s Signature Date

If you have questions, please contact:

CenterSupport@baylor.edu or 254-710-2171

Return this information to:

Center for Community Learning and EnrichmentOne Bear Place # 97282Waco, TX 76798-7282

CenterSupport@baylor.eduFAX: 254-710-4909

Testing Information(Parent, please sign and date this form before delivering it to your

child’s teacher or the school testing coordinator)11

PARENT: This signature (typed or handwritten) provides my permission for the school to release the following testing and GT identification information to the Center for Community Learning and Enrichment.

Student Name:

Type parent/guardian's full name here.

Type current date here.

Parent/Guardian’s Signature Date______________________________________________________________________________

TESTING COORDINATOR: Has this child been admitted to the school’s gifted program?

Achievement Test List percentile rank for the achievement test.

Name of Test: Type name of the test here. Date Given: mm/dd/yy

Total Battery: Type percentile rank here. Social Studies Total:Type percentile rank here.

Reading Total: Type percentile rank here. Science Total: Type percentile rank here.

Math total: Type percentile rank here.

Aptitude/Intelligence TestList standard score and percentile rank for the aptitude/intelligence test:

Name of Test: Type name of the test here. Date Given: Type date test was given here.

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Type student name here.

No ☐ Yes ☐ Year admitted: Type year here.

Total Battery:

StandardScore:

Type standard score here. Percentile: Type percentile here.

Subtest Scores

Name ofSubtest andScores:

Type name of subtest and standard score here.

Percentile: Type percentile here.

Name ofSubtest andScores:

Type name of subtest and standard score here.

Percentile: Type percentile here.

Name ofSubtest andScores:

Type name of subtest and standard score here.

Percentile:

Type percentile here.

Other Tests:Type other tests the student has taken and scores here.

Type current date here.

Type teacher's full name here.

Competed By Date

If you have questions, please contact:CenterSupport@baylor.edu or 254-710-2171

Otherwise, please return this information to:

Center for Community Learning and EnrichmentOne Bear Place # 97282Waco, TX 76798-7282

CenterSupport@baylor.eduFAX: 254-710-4909

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