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Center for Excellence in Education8201 Greensboro Drive, Suite 215McLean, VA 22102
The application is designed to show the applicant's background in academics, leadership, and service, as well as personalachievements and goals indicative of becoming a leader in science, technology, engineering, or mathematics.
The application has five parts. Part I must be completed by the applicant. Part II must be completed by the applicant andshould be reviewed by his/her teachers to ensure accuracy and completeness of information. Part III must be completedby the applicant's math or science teachers or research supervisor. Part IV is a certified copy of the applicant's high schoolrecord that includes a transcript of courses, grades, and standardized test scores. Part V is completed by the applicant anda parent/guardian. The applicant and two teachers must be sure that all the information requested is given accurately andcompletely before mailing. Please do not send supplementary materials that are not requested. The complete set ofapplication materials must be mailed to the Center for Excellence in Education in an envelope large enough toaccommodate an original unfolded application. Please do not staple or fold the pages of the application. Applicants mustfollow the instructions to ensure the completion of each part of the application. Applicants who do not conform to therequirements will not be considered.
Each application must include:
Part I: Complete applicant and high school information form
Part II: Completed answers to questions on self-nomination form with essay responses to the questions detailing his or her goals in science and/or mathematics.
Part III: Two teacher recommendations in sealed envelopes. The teachers should be familiar with the applicant and the applicant's scholastic record. Applicants who have participated in a research project of 4 weeks or longer at a university or a laboratory should request a recommendation from the research supervisor.
Part IV: The applicant's official high school transcript and standardized test scores, such as the *PSAT math, verbal and writing scores (or SAT or ACT test results) showing evidence of exceptional intellectual performance and potential.
Part V: Completed release information signed by the applicant and parent/guardian. $50.00 application fee - checks should be made payable to CEE. (please be sure to check box if requesting to waive fee) Stamped, self-addressed postcard for verification of application receipt (optional).
*PSAT math scores should be at least 76, and combined math, verbal, and writing PSAT scores should be at least 220.ACT minimum math scores should be 33 and reading, 34. Lower scores must be offset by strong indications of mathematical,scientific, and academic potential exemplified in recommendations, high school grades, and science activities.
RESEARCH SCIENCE INSTITUTE2011 APPLICATION
Dates to RememberJanuary 14, 2011: Application deadline for receipt at the CEE office. This is NOT the postmarked date.Last week in March: Students notified of selection by mail.June 19 to July 30, 2011: RSI summer program at MIT
Print & mail completed application to CEE.Deadline for receipt: January 14, 2011
To be completed by applicant.Please type or clearly print answers.
First Name Middle Initial
City State
Email Address
Country of Citizenship
Female
Male
(if not US Citizen) Immigration Status
APPLICANT INFORMATION
Last Name
Street Address Zip
Home Phone Number
Grade Enrolled (Fall 2010) College Start Date (M/Y)Birthdate (M/D/Y)
RESEARCH SCIENCE INSTITUTE 2011
Mail RSI application to:
Center for Excellence in Education8201 Greensboro DriveSuite 215McLean, VA 22102
For futher information email: [email protected]
APPLICATION: PART IAPPLICANT AND SCHOOL INFORMATION
IndicateGender
HIGH SCHOOL INFORMATION
School Address 1
State Zip
School Phone Number
High School Name
City
Principal's Prefix (Mr./Mrs./Ms./Miss)
School Email Address
School Address 2
Country
Principal's Professional/Adminstrative Title
HIGH SCHOOL PRINCIPAL INFORMATION
Principal's First Name Last Name
Principal's Email Address
Cell Phone Number
School Website Address
RSI 2011 APPLICATION: PART IIAPPLICANT QUESTIONS & SELF-NOMINATION
1. Please complete the following charts indicating course work through the end of the 2010-2011 school year.
To be completed by applicant.Please type or clearly print answers.
COURSE LEVEL
SKILL LEVEL
C
Subjects Regular Honors College Date Completed/Expected
A
AB BC
B
Computer Platform Beginning Intermediate Advanced
Calculus
Linear Algebra
Multivariable Calculus
Biology
Chemistry
Environmental Science
Statistics
Computer Science
Physics
Other:
Other:
C/C ++
Java
Perl/Python
MATLAB
Mathematica/Maple
Other:
Other:
Unix/Linux
LaTeX
Print & mail completed application to CEE.Deadline for receipt: January 14, 2011
APPLICANT QUESTIONS & SELF-NOMINATIONRSI 2011 APPLICATION: PART II
2. Indicate your first and second Research Field Choice: these must be two distinct fields. Within each field, select a Subfield.An example would be: Research Field Choice: Biology Subfield:.Neurology
3. In each Research Field selected in Question 2, please state what you perceive as the one or two most interesting questions/ problems in this field. Explain why they interest you.
4. What are your long-range goals?
5. What extracurricular activities and/or hobbies demonstrate your interest and ability to undertake scientific or mathematical research? (Give some measure to the extent of your participation and/or accomplishments in math or science competitions, research internships, and awards received.)
6. Describe your involvement and participation in extracurricular and community activities that do not relate directly to science, technology, engineeering, or mathematics.
7. Briefly describe any past experience with computer programming, modeling, and data analysis.
8. How did you hear about RSI?
Please respond to Questions 3 to 8 on separate paper, not to exceed a total of three single spaced typewritten pages. Provide specificdetails that give strong evidence of your promise in the sciences and mathematics. Should you be accepted, this information will beused to place you with a research mentor. Limit your responses to 1 to 2 paragraphs per question.
Subfield:
Subfield:
Research Field Choice II:
Research Field Choice I:
Test (If taken) Test Score Test Date Test (If taken) Subject Test Score Test Date
Please include an unofficial score report with your application and have your school send certified test scores with yourtranscript.
ACT Science
ACT Reading
ACT Math
ACT English
PSAT Writing
PSAT Verbal
PSAT Math SAT I
SAT I
SAT I
SAT II
SAT II
SAT II
ACT Science
Writing
Verbal
Math
Print & mail completed application to CEE.Deadline for receipt: January 14, 2011
To be completed by applicant.Please type or clearly print answers.
Teacher Name
Name of School
Subject(s) Taught
School Phone Number
Signature
Date
1. Summarize the reasons you believe this student has the potential to become a leader in science or math. (1000 Characters)
2. What do you consider this student's principle intellectual and personal strengths and weaknesses which should be considered inevaluating his/her candidacy for RSI? In particular, please give specific examples of how this student has pursued independentlearning. (1000 characters)
Please return this recommendation to the student named above in a sealed envelope. Feel free to use additional space or provide aletter on your school stationary if preferable.
Student's Name
To be completed by two of the applicant's science or math teachersor research supervisor. Please type or clearly print answers.
Print & mail completed application to CEE.Deadline for receipt: January 14, 2011
RSI 2011 APPLICATION: PART III
TEACHER RECOMMENDATION
Teachers Email Address
If my child is selected for RSI, I will urge him or her to participate in CEE activities through undergraduate and graduate yearsof study. I know our support is essential. I will financially support and consider volunteering for CEE on our child's behalf.
PARENT/GUARDIAN
Parent/Guardian Signature
Parent/Guardian Last NameParent/Guardian Prefix
Parent/Guardian Home Phone NumberParent/Guardian Daytime Phone Number Parent/Guardian E-mail Address
FOR YOUR APPLICATION TO BE CONSIDERED, PLEASE MAKE SURE THAT YOU HAVE INCLUDED THEFOLLOWING:
Part I: Completion of Applicant and High School information
Part II: Completion of answers to questions
Part III: Completion of two recommendations by Teachers and/or Laboratory Supervisor, in sealed envelopes
Part IV: A unofficial high school transcript and standardized tests scores report. School should send certified trascript and test scores.
Part V: Completed and signed applicant and parent/guardian release
Application Processing Fee of $50 (Please make checks payable to CEE)
Self-addressed stamped postcard for application receipt verification (optional)Enclosed Please waive the fee
Enclosed Not enclosed
All parts of the student application should be enclosed in one envelope. Partial applications or applications received afterJanuary 14, 2011 (January 14, 2011 postmark is NOT acceptable) will be considered incomplete and will not be considered.
I, , hereby grant permission for my name to be placed in candidacy
for selection as a RSI Scholar. I request that all school data in support of my nomination be at the disposal of the Center forExcellence in Education.
Applicant's Signature
Date
RSI 2011 APPLICATION: PART VAPPLICANT AND PARENT/GUARDIAN RELEASES
APPLICANT
To be completed by applicant.Please type or clearly print answers.
RSI 2011 APPLICATION: PART IVAcademic Documentation
Reminder, be sure to include the following:
Reminder: Be sure to include the following• Unofficial High School Transcript (School should send certified transcript and test scores)• PSAT math, verbal and writing scores or SAT or ACT test results showing evidence of exceptional intellectual performanceand potential.
To be completed by applicant and parent/guardian.Please type or clearly print answers.
Parent/Guardian First Name
Print & mail completed application to CEE.Deadline for receipt: January 14, 2011
Print & mail completed application to CEE.Deadline for receipt: January 14, 2011