2014 Pathfinders Application-Closed

Pathfinders Summer Program 2014 is a 5-day program for 6th graders and middle school students in and 7th and 8th grade. They attend a variety of workshops in a specific subject area based on their grade level: 8th graders focus on science.

** Space for our camps is limited to 50 students. Please note that completing this application form does not guarantee the applicant’s participation in one of the 2 sessions.

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



Session 1: June 15-19, 2014 (8th graders)
Session 2: June 22-26, 2014(6th and 7th graders)


How did you hear about this program?

If you are a Twenty-First Century Scholar, which County are you affiliated with?:

First name of applicant: Last name:
Street addr:
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:


General Information

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

School Name:

Grade (Just the number):
Expected Graduation Date: Cumulative G.P.A.:

Please indicate your room mate name (if no preference, please Input N/A ):

List any awards received:


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):


Essay:
Please tell us, in at least 100 words, why should you be selected to attend Pathfinders Summer Program? Why you think it is important to attend pre-college programs before college?


All fields below are required
Parent or Guardian Information

First Name of parent/guardian: Last Name:
Are Parents IU Alumni? Yes No
addr:
City: State: Zip:
Home Phone #: Work Phone #:
No space or hyphen "-" allowed between numbers. Phone number should be entered as follows: 1112223333

Click here for the Letter of Recommendation Forms.