UNIVERSITY OF THE VIRGIN ISLANDS “The Mathematics Behind the Science” Residential Summer Bridge Program on the St. Thomas Campus WEBSITE - http://mbs.uvi.edu Applications accepted until slots are filled. Priority deadline is May 15th Open to students interested in Science, Technology, Engineering or Mathematics (STEM) who 1. Graduated high school by June and plan to attend college (preference for those enrolling at UVI) or 2. Successfully completed MAT 024 at UVI Please note: Though the “Mathematics Behind the Science” bridge program will be located on the St. Thomas campus only, it is residential and will accommodate students from across the territory. Travel will be provided. Applicants must be available to participate the entire duration of the program. Please print or type the requested information in the allotted spaces. If additional space is needed, use a separate sheet. Do not omit any part of this form. 1. Student Name ____________________________________________________________________________________________ Last First Middle Telephone: _______________(home) ______________(cell) Email: ___________________________________ 2. Current Mailing Address: ___________________________________________________________________________ _______________________________________________________________________________ 3. Gender: ___Male___Female 4. Birthdate: ___________________ Citizenship: USA Permanent Resident Foreign month day year 5. Parent/Guardian Name________________________________________________________________ Physical Address _____________________________________________________________________ Telephone: _______________(cell) ______________(work) Email: _______________________________ 6. What is your intended college major? _____________________________________ 7. Which of these areas hold the most interest for you as a future career? (Check one) ____Medical Career ____Mathematician ____Physicist ____Biologist ____Engineer ____Computer Scientist ____Chemist ____Other ____________________________________ 8. Please list the top 3 colleges or universities you are considering: (1) ____________________________________ (2) ___________________________________ (3) ___________________________________ 9. Secondary School(s) Attended: School Name Location Date: From To 2 10. If you took any of the following courses in high school, please state the grade in which you took it (e.g., 11th grade, 12th grade) and the final grade you earned (e.g., A+, 92%). List any other Mathematics and Science courses you took in high school in grades 11 and 12 and your final grades. This information is required of all applicants EVEN THOUGH you must also submit your transcript. Course Year in School % or Letter Final Grade Advanced Algebra _______ _______ Trigonometry _______ _______ PreCalculus …_______ _______ Discrete Mathematics …_______ _______ Statistics _______ _______ Calculus _______ _______ AP Calculus _______ _______ Biology _______ _______ AP Biology _______ _______ Chemistry _______ _______ AP Chemistry _______ _______ Physics _______ _______ AP Physics _______ _______ __________________________ _______ _______ __________________________ _______ _______ 11. List the Mathematics and Science courses you have taken at UVI, if any, and the grade you earned. Course Instructor Semester Letter Grade 12. Overall high school grade-point-average: __________ UVI overall grade-point-average (if applicable): __________ 13. Please include with this application your official high school transcript. Please give the name and telephone number for the person to contact at your school if we need to verify your transcript information: School Telephone Number: ___________________________________ Name of Person to Contact regarding transcript: _____________________________ 14. List academic honors and awards you have received: ________________________________________________________ 15. Please enter your SAT or ACT scores: Reading & Writing______ Math_______ Essay _______ 16. a. Date of Application to UVI _____________________ b. Notice of Acceptance by UVI: ____ received c. UVI Student ID Number (9000xxxxx) ______________________ ____ not yet 17. How did you hear about this program? ________________________________________________________________________________________ ________________________________________________________________________________________ 3 18. Ask two persons (at least one must be your high school mathematics teacher) to write letters of recommendation on your behalf and list their names and phone numbers below. UVI students must include a letter from the MAT 024 instructor: _________________________________________ _______________________________ _________________________________________ _______________________________ Letters of recommendation may be attached to the application or sent directly by email to aimee.sanchez@uvi.edu. 19. Attach a 500-600 word essay on your career and educational goals. Also, describe your motivation for applying to UVI’s Mathematics Behind the Science bridge program and why you will be a good candidate. 20. Read and consider the statement below. Sign the statement if you agree with it. I understand that the purpose of the Mathematics Behind the Science bridge program is to prepare me to excel in a university STEM program. I agree to work diligently to strengthen my knowledge and skills. I will take UVI’s Placement or Calculus Readiness Test at the end of the program, and if I achieve a satisfactory score, I will enter the appropriate course. I further agree to participate fully in every aspect of Mathematics Behind the Science the entire duration of the program and to work cooperatively with other participants in a spirit of mutual respect to support our intellectual growth. I also agree to permit UVI to track my progress at UVI and beyond. The data will be used for assessment and evaluation measures to help evolve and improve UVI’s programs. UVI-ECS Programs are in compliance with the UVI Policy on Public Access to Documents and Information, March 17, 2007. Name of Applicant (print) _________________________________________ Signature of Applicant ___________________________________________ Date ______________________ 21. Ask your parents to read and sign the statement below. Then send the completed application and all supporting materials to the address on page 4. PARENT’S/GUARDIAN’S CONSENT: As the parent/guardian of the above-named student, I certify that the information given in the application is correct to the best of my knowledge. My son/daughter/ward has my permission to participate in the University of the Virgin Islands’ The Mathematics Behind the Science bridge program. It is my understanding that he/she will be subject to the regulations of the University of the Virgin Islands and the Mathematics Behind the Science bridge program for the duration of the program. I understand that should a health emergency arise, I will be notified, but that if I cannot be reached by telephone, such medical treatment as deemed necessary by competent medical personnel is authorized. I assert that I will assure that my son/daughter/ward understands that he/she has a responsibility to attend every session and each activity of the program. Name of Parent or Guardian (print)_____________________________________ Relationship to student: ______________________________________ Signature of Parent or Guardian ____________________________________ Date ______________________ 4 “The Mathematics Behind the Science” Application Checklist Please check each item you have provided. Your application may not be considered if it is incomplete. ___ Parent or Guardian Signature ___ Applicant Signature ___ Completed Application form ___ Essay (Question #19) ___ High School Transcript (from all applicants, including those already enrolled at UVI) ___ 2 Letters of Recommendation Completed applications can be submitted by postal mail to: Math Behind the Science Summer Program Attn: Aimee Sanchez College of Science and Mathematics University of the Virgin Islands RR1 Box 10,000 Kingshill, USVI 00851 We highly recommend submitting the online application form available at: http://mbs.uvi.edu. Supporting documents can be sent by email to: aimee.sanchez@uvi.edu All completed applications received by May 15th will receive full consideration. Applications received after that date may be considered, based on space availability. Please apply early! Contact Information: Aimee Sanchez Robert Stolz Grants Manager Grant Director Office: EVC 210 Office: CAB 310 Phone: 340-692-4109 Phone: 340-693-1231 Funding is provided by a grant from The National Science Foundation (NSF) HBCU-UP program and the generosity of individual donors.