Program Application

 

Section 1

Name ____________________________________________________________________________
 
Last Name, First Name, Middle Initial

SS#

______________________________________
Address ____________________________________________________________________________
 
Street
 
____________________________________________________________________________
 
City / State / Zip

Phone

(_________) ______________________
Email ____________________________________________________________________________
High School ____________________________________________________________________________
Location ____________________________________________________________________________
Are you applying to the FOCUS Program? _____yes _____no

Section 2

1. What mathematics and science courses have you taken in high school? Briefly describe any math or science programs in which you have particpated.

 

 

 

2. On a separate sheet of paper: Tell us why you wish to participate in the Advance Program. (What interests you about a first-year program featuring math and science? What features of the Advance Program do you find especially appealing? What special interests do you have?)

Applications must be received no later than June 9, 2000 for consideration.
All candidates will be notified of action on their application by the middle of July.

 

Applications may be completed on the web: www.aas.duke.edu/advance; or
faxed to: Science Education Initiatives, (919) 684-6918; or
Mail Application to: Science Education Initiatives, Box 90694, Duke University, Durham, North Carolina 27708