BLAST Biotechnology Laboratory for Arizona Students and Teachers Presents “Genes, Biotechnology and the Environment 2015” July 6- July 17 Monday-Friday 9:00-3:30 II. Family Information Tucson High Magnet School Return application to Ms. Wilch T233 or mail to Tucson High Magnet School 400 N. 2nd Ave Tucson AZ 85705 Applications are due May 8, 2015 I. Personal Information Last Name PLEASE TYPE YOUR RESPONSES! First Name Middle Initial Street Address City Phone number State Zip Code Cell phone number Email address Parent or Guardian Last name Parent or Guardian First Name Street Address City State Zip Code Phone number Cell phone number Email address Middle Initial III. Education Name of High School List all science classes taken thus far Teacher Sophomore, Junior, Senior in Fall 2015 (circle one) Grade Received Application Essay: Attach a one to two page essay describing why you are interested in taking this course. This might include future career plans, a general interest in science, biology or molecular biology or any other reasons. You might relate your reasons to previous experiences in classes or research. Also include what you hope to learn and describe personal strengths that might apply to the experience. Letter of recommendation: Provide a letter of recommendation from a science teacher of a course that you took in either 2014-2015 or 20132014. Provide the teacher with the attached form to complete and return to you in a sealed, signed envelope. Send this along with your other application materials. BLAST Teacher Recommendaton The student who provided you with this form is applying for the Genes, Biotechnology & the Environment hands-on laboratory experience for high school students. This course is a 14-day intensive class, taking place in July 2015. The course will be taught at Tucson High Magnet School by Margaret Wilch, Elizabeth Arnold, Ph.D., David Baltrus, Ph.D and assisted by several graduate and undergraduate students from the University of Arizona. In this class, high school students will work in small groups using state-of-the-art equipment and methods to learn and apply basic molecular biology skills, in the context of an ecological research questions developed within the class. Course work will also include a field component. The selection committee seeks references from individuals who know the qualifications and qualities of the candidate. Your comments are greatly appreciated and will be considered carefully prior to selecting participants. If you have any questions, please feel free to contact Margaret Wilch at [email protected]. Please return this form to the applicant in a sealed envelope and sign your name across the seal. The deadline for the student to submit completed applications is May 8, 2015 Teacher’s Name Teacher’s Signature Name of School Work Phone How long have you known the student? In what capacity have you known the student? Please write a letter of recommendation in which you comment briefly on the following information about the student. Place your letter in a sealed signed envelop and return to the student applicant who will submit the letter. Thank you- M. Wilch Motivation and ability to handle a biotechnology curriculum, including problem solving ability and critical thinking skills. Ability to cooperate with others, and degree of self-direction. Dependability and accountability, including regard for safety of self and others.
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