2014 Achievers Summer Academy Application Open

Achievers Summer Academy 2014 is a 5 day camp for 9th, 10th, & 11th grade under-represented students. Achievers provide high school students with firsthand experience of what to expect in college and how to effectively prepare while in high school. Besides attending daily classes in SAT/ACT preparation and test taking strategies, campers will participate in college planning workshops and have the opportunity to explore the campus. IU faculties, staff, graduate and/or undergraduate students will teach the classes. Participants live in the IU residence halls.

** Space for our camps is limited to 35 students. Please note that completing this application form does not guarantee the applicant’s participation in one of the four sessions.

Camp Timeline: June 15-19th 2014
Application Deadline: May 19, 2014

Participant Information

*Note: Applicants MUST mail in a copy of their report card. A GPA of at least 2.5 is required.
*Please include 2 letters of recommendation: one from your counselor and one from a teacher. Use the form at the bottom of the application for both letters.
Mail before the deadline to: Eigenmann Hall Room 619, 1900 E 10th St. Bloomington, IN 47406
or office # 812/856-5935

For more information, please contact Kim Morris-Newson kmorrisn@indiana.edu 812-856-6003

IUB Disability information listed


General Information
How did you hear about this program?

Twenty-First Century Scholars enter County are you affiliated with?/ or N/A:
First Name of applicant: Last Name:
Street address:
City: State: Zip code:
Phone number: Emergency Phone:
No space or hyphen "-" allowed between numbers. Phone number should be entered as follows: 1112223333
Gender: Male Female
Date of Birth (mm/dd/yyyy): E-mail:

Ethnic Group:
American Indian/Alaskan Native
Asian/Pacific Islander
Latino
Black/African American
White/Caucasian
Other
T-Shirt Size:
Small
Medium
Large
X-Large
XX-Large
XXX-Large

High School Attending:

Grade in Fall 2014:
Expected Graduation Date: Cumulative G.P.A.:


Essay Questions (Please answer each as clearly and completely as possible):
1. Why is planning for life after high school and attending college important?
2. What have you done to prepare for college thus far?
3. If selected to participate in Achievers Summer Academy 2014, what three things do you want to learn/experience while on the IU Bloomington Campus?


Medical Information

Please list any physical limitations that may challenge or hinder your
participaton in indoor or outdoor activities:
If you are in need of disability services while on campus, please contact
Indiana University Disability Services at (812)855-7578 or iubdss@indiana.edu.


Please list any special dietary requirements:

Please List any medical conditions or recent hospital care
(allergies, surgeries, other conditions):


All fields below are required
Parent or Guardian Information


First Name of parent/guardian: Last Name:
Are Parents IU Alumni? Yes No
Home Phone: Work Phone:
No space or hyphen "-" allowed between numbers. Phone number should be entered as follows: 1112223333
Parent/Guardian's Email:
Date:

Click here for the Letter of Recommendation Forms.