The Summer Institute

Instructions:

 Sponsored by Durham Academy, Chapel Hill/Carborro City Schools, Durham Public Schools and Orange County Schools.

Deadline: April 1, 2003

You may submit this form electronically or print it out and mail it to:

Summer Institute
Durham Academy
3601 Ridge Road
Durham, NC 27705-5599

Or send e-mail to: hlineberger@da.org

go to the online Teacher Evaluation Form
go to the The Summer Institute Program Description
see other Hands-on Science opportunities for Students in North Carolina
go to the Student Science Enrichment Program Main Page

Application Form

Applicant's Name:

 Telephone:
Address:

 Parents or Guardian's Names:
Sex
 Current Grade
Ethnic Group
Date of Birth:

Name of School you Attend

What parts of your science classes have you enjoyed the most? Why? (about 75 words)

What would you like to do for a living when you are older? (about 75 words)

Why do you wish to attend the Summer Institute? (about 75 words)

Do not forget to have your Science and Math teacher fill out your recommendations.
Do not forget to have your parent or guardian send a copy of your latest report card to the Summer Institute.


Last Modified: