SECTION 1

Name:

Social Security Number:

Home Address:

Street:
City :
State: Zip Code:
Phone:

Email:

High School:

Name:
Location:

Are you applying to the FOCUS Program? Check only if Yes

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. Tell us why you wish to participate in the Advance Program. (What interests you about the 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 applications by the middle of July