SSI I: BioBridge 2021 for 9th Grade GEAR-UP Jefferson County Students To be eligible for participation, applicants should: ▪ Currently be entering 9th grade attending a *GEAR UP Jefferson County School. ▪ Have an interest in and a demonstrated aptitude for science. ▪ Commit to being present on all days of the session. ▪ Submit a COMPLETED APPLICATION PACKET which includes: 1. The following Application Form 2. A current high school transcript 3. A letter of recommendation from a science teacher Deadline for Applications: May 21, 2021 by 5:00 pm Completed applications must be emailed to
[email protected] UAB-CORD SUMMER SCIENCE INSTITUTE I BioBridge 2021 APPLICATION Requested session to attend (please check one): June 21-25________ July 26-30________ Contact Information: Applicant Name Date of Birth Mailing Address ____ City State Zip Code Telephone Number (Home) (Cell) Email Race M/F Name of Parent(s)/Guardian Mailing Address (if different) City State Zip Code Phone (Daytime) (Cell) Academic Information: 1. School that you will attend next fall and the grade you will enter: School District: 2. Scholastic awards or honors received: *Students entering 9th grade in the following schools receive a Gear Up scholarship for the entire tuition. Please check if you plan to attend one of the following schools, in the fall, below: Bessemer City High Fairfield High Prep Midfield High School Tarrant High School Clay-Chalkville High Center Point High School Fultondale High School Hueytown High School Shades Valley High McAdory High School Minor High School Pleasant Grove High Pinson Valley High I certify that the information contained in this application is correct and complete for participation in the SSI BioBridge program held at UAB-CORD June 21-25 OR July 26-30 from 9am to 3pm daily.