RSI 2011 Interactive Application

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.


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


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



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.


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


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



RSI 2011 Interactive Application

Documents

Transcript of RSI 2011 Interactive Application