NC Project SEED (formerly Project Suc-SEED)
A Science Educational Experience for High School Students

Apply

Application Procedure:It is your responsibility to be certain that we receive all the necessary materials with your application on or before the application deadline. Your application will not be considered unless all materials are included with your application. High Potential students will be invited for Interviews prior to the application deadline. Please provide a reliable E-Mail address and your parents email address because all further correspondence will be via email.

  1. Please send a copy of your most recent official high school transcript the transcript should include PSAT, SAT, or ACT test scores. Send it to:
    The Hamner Institutes for Life Sciences
    CIIT-Centers for Health Research
    PO Box 12137
    Research Triangle Park, NC 27709-2137
  2. Also, include a Teacher Evaluation Form from a current science teacher (preferably chemistry) familiar with your academic work.
    • The teacher must submit this form electronically, the applicant will not be able to see any of the teacher's responses.
  3. The applicant must write an essay (250 words minimum).
  4. Applications, transcripts, and recommendations must be submitted on or before January 30, 2008.

    5. Applicant Information
    Name
    Social Security Number
    Address
    City
    State
    ZIP Code
    County
    Evening Telephone Number
    Are you a U.S. Citizen?
    If not a U.S. Citizen, state your Country of origin, citizenship status, and type of visa you hold.
    Sex
    Racial/Ethnic Origin
    Grade
    Religious Denomination (optional)
    Date of Birth
    Area of Science Interest
    Email Address
    Describe any disabilities of which you are aware.
    If you have any, list all serious illnesses, chronic illnesses, and significant allergies.
    Describe how you have spent your last two summers.
     
    Parent/Guardian Information
    Name of Parent or Guardian
    Parent/Guardian's Street Adress
    Parent/Guardian's City
    Parent/Guardian's State
    Parent/Guardian's ZIP Code
    Parent/Guardian's County
     
    High School Information
    Name of High School
    Street Address
    State
    Zip Code
    County
    Name of High School Counselor
    Phone Number of Counselor
     
    Testing Information
    PSAT Scores: (Math/Verbal)
    SAT Scores: (Math/Verbal)
    ACT Scores: (Math/Verbal)
    Cumulative GPA
    Class Rank
     
    Activities and Academic Goals
    List academic honors, prizes, scholarships, or extra-curricular activities, hobbies and special interests. Indicate any leadership positions held.
    What are your plans for post graduate/professional training? (Check all that apply)Graduate school to pursue Ph.D in science/engineering
    Graduate School to pursue M.S. degree in science/engineering
    Medical school
    Other health professional program
    Other
    List the high school science and mathematics courses which you have completed. (Provide a numerical average for each course.)
     
    Family Background
    Number of brothers
    Number of sisters
    Father's Name (Last, First)
    Is he living?
    Father's Occupation
    Father's Approximate Income Range (This information is required to insure program eligibility. Please select the appropriate financial income range.)$0 - $15,000
    $16,000 - $20,000
    $21,000 - $25,000
    $26,000 - $30,000
    $31,000 - $35,000
    $36,000 - $40,000
    $41,000 - $50,000
    $50,000 - $100,000
    $100,000+
    Mother's Name (Last, First)
    Is she living?
    Mother's Occupation
    Mother's Approximate Income Range (This information is required to insure program eligibility. Please select the appropriate financial income range.)$0 - $15,000
    $16,000 - $20,000
    $21,000 - $25,000
    $26,000 - $30,000
    $31,000 - $35,000
    $36,000 - $40,000
    $41,000 - $50,000
    $50,000 - $100,000
    $100,000+
     
    Personal Essay
    Write an essay (2-3 paragraphs) describing your interest in science and your career goals. Include a discussion of any research or science fair projects in which you have participated as a high school student.
    How can this program benefit you? (Approximately 250 words)
     
    Certification
    Certification of StatementsI certify that all of the above statements are true.
     

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