Application for the Trulaske Business Academy July 12th—18th, 2015 The Trulaske Business Academy is open to underrepresented ethnic minority high school students. Applicants must be rising 10th, 11th, or 12th graders with at least a 3.00 GPA. Students who have participated in the Academy during previous summers are not eligible to apply. Incomplete applications will not be considered. Transportation to and from the Academy is not provided. However, transportation can be arranged to and from Columbia Regional Airport or Megabus/Greyhound terminals. Please complete all sections. 1. Name FIRST 3. Gender: 2. Date of Birth M.I. o Male LAST MONTH/DAY/YEAR o Female 4. Ethnic Origin o American Indian/Alaskan Native o Asian or Pacific Islander o Black/African-American o Hispanic/Latino o Multiracial 5. Permanent Address and Telephone Number NUMBER AND STREET CITY APT. NO. OR BOX NO. STATE ZIP STUDENT (AREA CODE) TELEPHONE NUMBER 6. Emergency Contact Information. Name of: FIRST STUDENT E-MAIL ADDRESS o Parent o Guardian/Other (Check one) LAST PARENT/GUARDIAN (AREA CODE) TELEPHONE NO. (Please indicate cell, work, or home no.) PARENT/GUARDIAN E-MAIL ADDRESS 7. Can you attend for the full program 7/12/15-7/18/15?: o Yes 8. Shirt Size: o No (SMALL, MEDIUM, LARGE, XL, XXL) 9a. Have you previously attended a summer program at Mizzou? o Yes 9b. If yes, which program(s)? (Over) o No To be completed by Guidance Counselor: Student GPA Current Year in School Expected Graduation (FRESH, SOPH, JUNIOR) High School Counselor’s Email Counselor’s Name (PLEASE PRINT) Counselor’s Signature DATE Please type your responses to the following questions and attach to this application. Your typed responses should be double-spaced and no more than three pages. 1. Why are you interested in participating the Trulaske Business Academy? 2. Tell us about your interest in studying business in college and/or about working in business. 3. What are your tentative college plans? 4. What do you hope to learn from participating in the Trulaske Business Academy? If accepted to the Academy, a $50 registration fee will be required to hold your spot. The registration fee will be refunded at the conclusion of the Academy if attendance at all scheduled events is satisfied. Please note: The registration fee will be waived if you qualify for free or reduced lunch. Questions? Contact: Dan Nicewarner [email protected] (573) 882-6028 Applications Due: April 24th, 2015* Fax to: (573)884-5526 or Mail to: Trulaske Business Academy University of Missouri c/o Dan Nicewarner 110 Cornell Hall Columbia, MO 65211 *Applications received after this deadline will not be considered. Applicants will be notified of their status with the Academy around May 8th via email and letter.