* Please note that this application does not guarantee your acceptance into any Pre-College Summer Academies. Once accepted, you will be notified via email. Final date for submission is May 18, 2019. Student InformationName*FirstMiddleLastDate of Birth*Name of School*Current Grade Level*Gender*MaleFemaleHave you attended this program before?*YesNoRUD# (if you've attended before)Student Email*Parent InformationNamePlease selectMrMrsMsMissDrPrefixFirstLastDay Phone*Parent Email address*Permanent Home Address*Address Line 2City*StatePlease selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code*I have been a legal resident of NJ for one year?*YesNoCounty CodeIf no, what state?Please selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCountry of Residence?*Please selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'IvoireCroatia (Local Name: Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard And Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic Of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts And NevisSaint LuciaSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia, South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre And MiquelonSudanSurinameSvalbard And Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweLeadership Summer Academy: July 21-August 3, 2019 Are you interested in taking the academy for academic credit? Please note not all programs offer credit and additional fees will apply. For tuition breakdown, visit summersession.rutgers.edu/precollege-academies/costsCredit Option*Please selectYesNoSupporting DocumentsPlease scan and upload required supporting documents. Upload Transcript(Maximum Size 100MB) Transcripts can also be emailed to: precollegeacademies@docs.rutgers.edu OR mailed to: 55 Commercial Ave, Suite 120, New Brunswick, NJ 08901Upload Recommendation Letter:(maximum size 100MB)The Recommendation Letter should come from a guidance counselor or other school official that can best speak to your character and your academic achievements and interests. If there is a teacher, vice principal or coach that has direct interaction with you on a regular basis and knows you better than your guidance counselor than the letter should come from that person. Letters of Recommendation can also be emailed to: precollegeacademies@docs.rutgers.eduUpload Personal Essay:(maximum size 100MB)The Essay should be a maximum of one page, double-spaced. In your essay please address one of the following: -Why do you want to attend the Rutgers Pre-College Summer Academy and what do you hope to learn? - Share your most meaningful achievement and how it relates to your future goals.Disclaimer*I acceptBy accepting above, I certify that I have visited the Summer Academies website, have reviewed and will follow University policy and procedures, and am aware of tuition and fees, class meeting schedule, and deadlines. I understand that my child will be registered for the program(s) listed above, upon Summer Session approval. I also understand that I am fully liable for all tuition and fees associated with my child’s registration and will make payment to the University prior to attendance. I understand that registration is not guaranteed and is contingent upon space availability and/or department approval.Please type the characters*This helps us prevent spam, thank you.SendThis field should be left blank