2017 St. Louis Summer Transportation Institute Application Form
June 12
th
-16
th
, 2017 OR June 19
th
-23
rd
, 2017
The fillable version of this form is available online at parks.slu.edu/summer-transportation-institute
STUDENT INFORMATION (Please make sure handwriting is legible, or type in the PDF form)
Address: (Street Name, Apt. #, City, State, Zip code)
Birth Date: (Mo./Yr.)
Male Female
How did you hear about St. Louis Summer Transportation Institute:
Friend Parent Teacher/School Other (please list):
Grade in Spring 2017:
9 10 11
Name of School (Spring 2017):
(4.0 scale):
I have completed algebra, or will be qualified for enrollment in
algebra, for the coming school term. Yes No
T-Shirt Size (adult sizes):
Small Medium Large XL 2XL other
The institute is offered over two, one-week sessions. The content of both sessions is similar. Please rank your preference:
My first preference is week of June 12th -16th, 2017 and my second preference is week of Ju
ne 19th -23rd, 2017
My first preference is week of June 19th -23rd 2017 and my second preference is week of June 12th -16th, 2017
I do not have a preference.
We will make every attempt to accommodate your preference but we cannot guarantee that you will be admitted to your first session
Please list your math and science classes: (most recent)
Math:
Accommodations (Optional): Please identify any accommodations that you might need to support your participation (e.g. Braille,
Interpreting Service, accessible transportation, additional personal support, and special diet)
PARENT/GUARDIAN INFORMATION
Parent/Guardian Address (if different): (Street Name, Apt. #, City, State, Zip code)
I certify that the information I have provided on this application form is accurate.
Parent/Guardian Signature:
To apply for St. Louis Summer Transportation Institute, you must submit:
1. A completed application form.
2. A typed essay at least 350 words: Describe your career interests and how the St. Louis Summer Transportation Institute can
assist you in reaching your goals.
3. A letter of recommendation. Letter must be from someone familiar with your academic performance, character, career
aspirations, or community service and include how long the writer has known you. May include, but not limited to a guidance
counselor, teacher, principal, coach, church leader, or employer. The letter may reflect your scholarly activities, conduct,
attitude, ability to work as a member of a team, and so on.
APPLICATION DEADLINE: May 28, 2017. Incomplete applications will not be processed.
Please note submission of an application does not gaurantee a place at 2017 summer transportation institute
Please submit application, essay and letter of recommendation by mail to:
Parks College of Engineering, Aviation and Technology
ATTN: Summer Transportation Inst.
3450 Lindell Blvd, Rm 1033
St. Louis, MO 63103
Or submit your application, and essay online at parks.slu.edu/summer-transportation-institute and submit letter of
recommendation by mail.
For further information, visit the website, contact Rachel Rimmerman at (314) 977-8443 or by e-mail at parksevents@slu.edu