ssi application 2015_2

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Summer Scholars Institute 2015 Pace University, Office for Student Success, One Pace Plaza, 2 nd Floor Room Y21, New York, NY 10038 Telephone 212-346-1192 WWW.PACE.EDU/SUMMERSCHOLARS [email protected] APPLICATION DEADLINE: JUNE 12, 2015* PLEASE NOTE: YOUR APPLICATION MUST BE ACCOMPANIED BY A $50.00 NON- REFUNDABLE DEPOSIT WHICH WILL GO TOWARD THE COST OF YOUR TUITION If you need more space, feel free to attach a typed sheet to this application. APPLICANT INFORMATION Name: Marcus Wells Date of Birth: 10/27/1998 Male Female Please provide a working email address that you check often. Correspondence, including acceptance letters, will be sent via this email address: [email protected] Phone: (916)223-8759 Home/Mailing Address: 500 Hearthside Ct. Cell Phone: (916)223-8759 City: Roseville State: CA ZIP Code: 95747 SAT/PSAT Score: Grade Point Average: Sophomore Junior GUIDANCE COUNSELOR INFORMATION High school: Roseville High School Address: 1 Tiger Way City: Roseville State: CA Zip Code: 95678 Guidance Counselor Name: Jason Bradley Phone Number: QUESTIONS – ANSWER ALL QUESTIONS Where will you stay: On campus Commute Which Summer Scholars major are you interested in pursuing? ( ‘X’ one box for choice 1 and choice 2) Please go to our website for course descriptions. Choice 1: Business Administration Musical Theater* Psychology Theater Arts *requires an audition video, see brochure Choice 2: Business Administration Musical Theater* Psychology Theater Arts *requires an audition video, see brochure What are your main academic interests? Life sciences, creative writing, the human mind and What are your main extra-curricular activities?

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Summer Scholars Program 2008

Summer Scholars Institute 2015Pace University, Office for Student Success, One Pace Plaza, 2nd Floor Room Y21, New York, NY 10038Telephone 212-346-1192www.pace.edu/summerscholars [email protected]

Application Deadline: june 12, 2015* PLEASE NOTE: YOUR APPLICATION MUST BE ACCOMPANIED BY A $50.00 NON-REFUNDABLE DEPOSIT WHICH WILL GO TOWARD THE COST OF YOUR TUITION

If you need more space, feel free to attach a typed sheet to this application.

APPLICANT INFORMATION

Name: Marcus WellsDate of Birth: 10/27/1998Male FORMCHECKBOX Female FORMCHECKBOX

Please provide a working email address that you check often. Correspondence, including acceptance letters, will be sent via this email address: [email protected]: (916)223-8759

Home/Mailing Address: 500 Hearthside Ct. Cell Phone: (916)223-8759

City: RosevilleState: CAZIP Code: 95747

SAT/PSAT Score: Grade Point Average:Sophomore FORMCHECKBOX Junior FORMCHECKBOX

Guidance counselor information

High school: Roseville High School

Address: 1 Tiger Way

City: Roseville State: CAZip Code: 95678

Guidance Counselor Name: Jason Bradley

Phone Number:

Questions Answer all questions

Where will you stay: On campus FORMCHECKBOX Commute FORMCHECKBOX

Which Summer Scholars major are you interested in pursuing?

( X one box for choice 1 and choice 2)Please go to our website for course descriptions.Choice 1: FORMCHECKBOX Business Administration FORMCHECKBOX Musical Theater* FORMCHECKBOX Psychology

FORMCHECKBOX Theater Arts*requires an audition video, see brochureChoice 2: FORMCHECKBOX Business Administration

FORMCHECKBOX Musical Theater* FORMCHECKBOX Psychology

FORMCHECKBOX Theater Arts*requires an audition video, see brochure

What are your main academic interests? Life sciences, creative writing, the human mind and

What are your main extra-curricular activities?

(Optional): How would you describe yourself?

FORMCHECKBOX African American FORMCHECKBOX Asian/ Pacific Islander FORMCHECKBOX Hispanic FORMCHECKBOX Native American

FORMCHECKBOX White/Anglo/Caucasian (non-Hispanic)

How did you hear about the Summer Scholars Program? FORMCHECKBOX Website FORMCHECKBOX Email FORMCHECKBOX Postcard

FORMCHECKBOX Brochure FORMCHECKBOX High School FORMCHECKBOX Event FORMCHECKBOX Other: _____________________________

PARENT/GUARDIAN INFORMATION

Name(s):Relationship:

Home/Mailing Address:

City:State:Zip Code:

Home Telephone/Cell Phone:

Occupation:

Work Address:

City:State:Zip Code:

Work Telephone:

Person responsible for tuition:

Please provide a working email address that you check often. Correspondence, including acceptance letters, will be sent via this email address:

SUPPORTING DOCUMENTS

1. Please provide a copy of your high school transcripts. Please note that your transcript DOES NOT need to be sealed.

2. Please provide a TWO PAGE, TYPED ESSAY (double spaced) about your academic and extracurricular interests, and how the path you are currently taking in high school will shape your goals in college. Finally, tell us where you see yourself six years from now.

3. If you are interested in receiving a scholarship to attend this program, please provide an additional ONE PAGE, TYPED ESSAY (double spaced) explaining your need for financial assistance for the Summer Scholars Program. For those who receive the award, the amount of scholarship awarded will be between $100 and $400 for residents and between $50 and $200 for commuters. Scholarships are based on the strength of the essay and are given on a limited and selected basis.

4. Please also provide one letter of recommendation from a teacher, coach, supervisor, guidance counselor, advisor, etc. These recommendation letters can be included in your application packet, but must be sealed and signed by the recommender. Unsealed or ripped recommendations will not be accepted.

SIGNATURE

I understand that in the course of my association with Pace University I will be given the opportunity of taking part in many University activities, both on and off the University premises. I understand that my admission to the Summer Scholars Program is a privilege and not a right and I agree that my admission (if granted) and continuation in the Program are subject to all policies, rules, regulations and procedures set forth in the current bulletins, catalogs and other publications and amendment notices of Pace University and the Summer Scholars Program, and as they may be amended, and further subject to the right of the authorities of Pace University to require my withdrawal from scholastic, disciplinary or other reasons, under circumstances deemed sufficient by them.

I understand that the tuition fee is payable to PACE UNIVERSITY by the due date that will be noted on my invoice following my acceptance, and that PACE UNIVERSITY reserves the right to impose a finance charge if my account is overdue. I certify that I personally have completed this application and that the information I provide is complete and accurate. Misrepresentation of information requested in this application may be considered sufficient reason for denial of admission.

Pace University does not discriminate against any person for any reason, including race, color, national or ethnic origin, religion, age, sex, sexual orientation or handicap.

Student Signature: Date:

Parent Signature: Date:

*Please be sure to include your $50.00 deposit and have your parent sign your application!*The cost of the program for 2015 is $1400 for commuter students and $2400 for resident students. The $50 non-refundable deposit goes toward tuition costs. Your Summer. Your Pace.