Summer College Courses at Boston University (BU) Summer Term 2008

SUMMER STUDY INTERNSHIP PROGRAM 2008
Online Application

May 20 - August 15, 2008


Please answer the following questions.

 

First Name:

Middle Initial:

Last Name:

E-mail

Social Security Number

Date of Birth (MM/DD/YY)

Gender

Male      Female

Citizenship

U.S. Citizen
U.S. Permanent Resident (please indicate your citizenship)

 
 

Local Address line 1:

Local Address line 2:

Local City:

Local State:   

Post/Zip Code:   

Province/Country:

Valid from: (MM/DD/YY)

Valid until: (MM/DD/YY)

 
 

Home Address line 1:

Home Address line 2:

Home City:

Home State:   

Post/Zip Code:   

Province/Country:

 

Home Phone

Cell Phone (required)

 
 

College/University
(currently attending)

Current Standing

Class of (year)

Major

Minor

Cumulative GPA

Major GPA

 

Prior Institutions Attended:   

Have you ever been placed on academic or disciplinary probation?      Yes      No

If yes, please briefly explain:

Do you plan to apply to another summer study program? If so, please list:
 
 

Academic Information


Advisor

Name

Title

Institution

Department

       

Address line 1:

Address line 2:

City:

State:  

Post/Zip Code:   

Province/Country:

Telephone

E-mail

 
 

Program Track

Please check the track for which you are applying.

  Arts and Culture

  Politics and Public Policy

  Business and Management

  Psychology and Public Policy

  Film and Media Studies

  Web and Graphic Design

  International Studies

  Self-designed Track

 
 

Course Selection: Summer 1

List below the specific courses within your program track that you would like to take in Summer 1. If your first choice is unavailable, you will be placed in your alternate selection.

Course Choice 1

Course ID

(Example: CAS AM 371 A1 - see course listing.)

Course Title

Course Day and Time

 

Course Choice 2

Course ID

Course Title

Course Day and Time

 

Alternate Choice 1

Course ID

Course Title

Course Day and Time

 

Alternate Choice 2

Course ID

Course Title

Course Day and Time

 

How did you hear about this program? (Please check all that apply.)

 Received Brochure in Mail

 Friend/Family

 Boston University Website

 College Newspaper

 Poster

 Advisor or Guidance Counselor

 Career Services

 Search Engine
 Which one

 Other

 
 

Which of the following do you consider yourself? (Required for government reporting.)

 African-American/Black

 American Indian/Alaskan Native

 Asian

 Native Hawaiian/Pacific Islander

 Caucasian/White

 Hispanic/Latino

Other (specify)

 I prefer not to respond

  

We value your Privacy.
 
 

 Certification: I certify the information on this application to be correct and understand that on becoming a participant in the program I shall be subject to all Boston University rules, regulations, and requirements as to conduct, scholarship, and continuance in Boston University. I understand that Boston University reserves the right to require the withdrawal of any student due to unsatisfactory academic work or behavior.

Please sign or type your name in the text box:

Student Signature    

Date
 

Please submit application online. Then mail your supporting materials ($40 application fee, personal essay, college transcript, and resume) to:
Boston University Summer Term, Summer Study Internship Program, 755 Commonwealth Ave, Room 105, Boston, MA 02215

Boston University's policies provide for equal opportunity and affirmative action in employment and admission to all programs of the University.
 

   

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