Michigander in Mass

• Planes and airports.
  
• Trucks and busses, railways, busses, and highways systems.
  
• Water travel.
  

• Be going into 10th, 11th or 12th grader at the end of the 2004-2005 academic school year.
  
• Have a cumulative grade point average of 2.5 on a 4.0 scale
  
• Have successfully completed at least one course of high school algebra
  
• Have a strong interest in math, science or computer technology
  
• Be committed to complete a four-week non-residential (you will live with your family but go to classes or road trips every day) program on the Campus of the
  University of Massachusetts Boston
  

current official school transcript

• two letters of recommendation from teachers who are familiar with your character, academic abilities, and accomplishments.
  
• a typed, double-spaced 250-word essay entitled, "How the Summer Transportation Institute Can Assist Me in Reaching My Career Goals." Double spaced means the text should look like this:
  

Last Name:

First Name:                                       

M.I.:                         

Date of Birth:

Age:

Home Address                                     

City:                                       

State:                     

Zip Code:

Email Address:

Social Security Number:



Name of High School:                        
Address:
City/State:                            
Zip Code:

Name of Guidance Counselor:
Telephone Number of Guidance Counselor:
E-Mail address of Guidance Counselor:     

Gender: Male Female    

Current Classification: Freshman Sophomore Junior

What grade are you in during the 2004-2005 School
Year?   10th  11th  12th

Awards/Achievements/Organizations (Attach additional sheet if 
necessary) 
 
Required Essay: A typed, double-spaced 250-word essay 
entitled, "How the Summer Transportation Institute Can Assist Me 
in Reaching My Career Goals."


**********************
STANDARDIZED TEST SCORES

English     Date: Score:

Math  Date: Score:

Science  Date: Score:

Highest Math Completed:

Grade Received:

Overall GPA: 

I heard about the STI Program through:   

Internet   News Media   School   Parent   STI
Other 


**********************
PARENTAL/GUARDIAN INFORMATION

Last Name of Mother, Father or Legal Guardian:


First:                                       

Middle Initial:

Home Address (if different from above):


City/State:                            

Zip Code:


Telephone Number:

Occupation:                          

Employer:


E-Mail Address:                                   

Work Telephone Number:




Parent/Guardian's Signature                 
Date signed:                            


Applicant's (the student's) Signature                         
Date signed: