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BOSS Program Application


Please fill out the form below. All fields marked with are required.

STUDENT PARTICIPANT INFORMATION

STUDENT ADDRESS

Street Address, P.O. Box, c/o
Apartment, suite, unit, building, floor, etc.
Value must be a number.

EMERGENCY CONTACT INFORMATION

Parent/Guardian 1

Value must be a number. Don't forget area code.
Would you like to add a 2nd Emergency Contact?

Parent/Guardian 2

Value must be a number. Don't forget area code.

EDUCATION

Street Address, P.O. Box, c/o
Apartment, suite, unit, building, floor, etc.
Value must be a number.
Value must be a number. Don't forget area code.
Value must be a number.
ex: 4.00, 5.00, 100. Value must be a number.
If you do not have scores, enter '0'. Value must be a number.
If you do not have scores, enter '0'. Value must be a number.

RECOMMENDER

An email will be sent to the individual to request a letter of recommendation. Please be sure to ask them.

ADDITIONAL CONFERENCE INFORMATION

T-Shirt Size: (based on adult sizing)
The following information is requested solely for affirmative action and statistical purposes. It will not affect admission, and provision of this information is completely voluntary. Indicate your predominant ethnic background.

Please check all that apply.

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Attachment Uploads

File Format(s) Accepted: PDF

FINAL INFORMATION

How did you and your parent/guardians hear about us?
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Guardian Consent

I approve of my son/daughter's application for this program and acknowledge that if my son/daughter is accepted into the program I will be responsible for transportation (to and from the program) and the program registration fee (unless scholarship was applied for and approved).