TEST ZONE - DO NOT USE | ScienceToJobs

High School Science to Jobs
Summer Academy Application

Current 9th & 10th Grade Students in Select Districts

Monday, June 10 to Thursday, June 13, 2024

Missouri Southern State University

Student Information

First Name

Last Name

Preferred Name

Sex

Male

Female

Other

Email

Phone

If other was selected please enter size

Choose one of the following career strands you would like to explore:

Bioscience/Environmental Science/Forensic Science: Possible careers include Environmental Health, Biochemist, Biologist, Food Science, Forensics, Environmental Safety, Criminal Investigator, and Pathologist
Health Sciences/Exercise Science: Possible careers include Dental, Medical, Nursing, Physical Therapy, Occupational Therapy, Respiratory Care, Radiology, Medical Examiner, Dietician, Recreation Specialist, Personal Trainer, Strength & Conditioning Coach

Parent / Guardian must fill out the following section:

Parent / Guardian First Name

Parent / Guardian Last Name

Parent / Guardian Email

Parent / Guardian Phone Number

Science to Jobs requests your consent to text you about events you have applied to, important deadlines, and other relevant information related to your enrollment and success at the Science to Jobs Summer Academy. You can typically expect texts no more than twice per week.

You can also reply to texts to get a response from our advising staff. We recommend that you do not include sensitive personal information (e.g. your Social Security number) in your texts. You can unsubscribe from receiving text messages at any time by replying to a text with the word STOP.

Please fill out the information below to opt into our texting program. Thank you!

I agree to opt-in to receive texts from Missouri Southern State University Science to Jobs:

Yes

No

Checking this box acknowledges student and parent/guardian information is accurate.

Parent / Guardian Signature:

If the application is approved, additional forms and information will be emailed to both the student and parent/guardian from sciencetojobs@gmail.com no later than April 15, 2024.

Middle School Science to Jobs
Summer Academy Application

Current 5th-8th Grade Students in Select Districts

Missouri Southern State University

Student Information

First Name

Last Name

Preferred Name

Sex

Male

Female

Other

Email

Phone

If other was selected please enter size

Parent / Guardian must fill out the following section:

Parent / Guardian First Name

Parent / Guardian Last Name

Parent / Guardian Email

Parent / Guardian Phone Number

Science to Jobs requests your consent to text you about events you have applied to, important deadlines, and other relevant information related to your enrollment and success at the Science to Jobs Summer Academy. You can typically expect texts no more than twice per week.

You can also reply to texts to get a response from our advising staff. We recommend that you do not include sensitive personal information (e.g. your Social Security number) in your texts. You can unsubscribe from receiving text messages at any time by replying to a text with the word STOP.

Please fill out the information below to opt into our texting program. Thank you!

I agree to opt-in to receive texts from Missouri Southern State University Science to Jobs:

Yes

No

Checking this box acknowledges student and parent/guardian information is accurate.

Parent / Guardian Signature:

If the application is approved, additional forms and information will be emailed to both the student and parent/guardian from sciencetojobs@gmail.com no later than April 15, 2024.

High School Science to Jobs Summer Academy Application

Student Information

Parent / Guardian must fill out the following section:

Parent / Guardian Signature:

Middle School Science to Jobs Summer Academy Application

Student Information

Parent / Guardian must fill out the following section:

Parent / Guardian Signature:

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High School Science to Jobs
Summer Academy Application

Middle School Science to Jobs
Summer Academy Application