Fillable BES Tapplication 2016 (University of Dayton)

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BES Tapplication 2016 (University of Dayton)

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Summer 2016 B.E.S.T. Program: Student Application
The University of Dayton's B.E.S.T. program is a special blend of academic and hands-on learning centered
around business, engineering, science and technology.
You'll spend four weeks on campus, learning from University of Dayton professors as you immerse yourself in
the university experience.
To be eligible for consideration as a B.E.S.T. student, students must have completed at least their sophomore
year of high school.
Section 1: Student Information
Last Name:
First Name:
Middle Name:
Date of Birth (mm/dd/yyyy):
Gender Male Female
Are you a U.S. citizen or
permanent resident?
Yes No
If no, what are your citizenship
and visa statuses?
Email Address:
Phone Number:
Permanent Address:
Mailing Address:
(If different from above)
Section 2: Educational Background (Home Institution)
Current High School:
Address of High School:
First Attended (mm/dd/yyyy):
Last Attended (mm/dd/yyyy):
(Leave blank if still attending)
Expected Graduation Date:
Your Intended College Major:
PARENTAL/LEGAL GUARDIAN CONSENT (If under 18 years of age)
As parent/legal guardian of this student, I authorize him/her to travel to the University of Dayton in Dayton,
Ohio, for the B.E.S.T. program offered from July 11 to August 5, 2016. I acknowledge that this student has major
medical insurance that will cover this child for medical treatment in the United States. I authorize the University
of Dayton to make medical treatment decisions for the student in cases of emergency. In addition, emergency
contact information is provided:
Name:
Address:
Home Phone Number:
Work Phone Number:
Cell Phone Number:
Signature of Parent/Guardian:
Date:
TO BE COMPLETED AND SIGNED BY THE GUIDANCE COUNSELOR OFFICIAL
He/she has been given approval to take courses at the University of Dayton during Summer 2016.
Name of High School:
School CEEB Code:
Counselor Name:
Email Address:
Phone Number:
School District:
Student's Class Standing:
(_____ of _____)
GPA (out of 4.0):
Would you recommend this student as having the aptitude and academic record appropriate to study at the
University of Dayton in the B.E.S.T. program?
Please state any evidence to
support your
recommendation:
Signature:
Date:
University of Dayton
300 College Park
Dayton, OH
U.S.A. 45469-1671
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BES Tapplication 2016 (University of Dayton)

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Completed 25 July 2020

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