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Visiting-young-scholar-application - Visiting Young Scholars Application

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VYS Application P age 1!
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http://www.slu.edu/visiting-young-scholars
NEW SCHOLAR APPLICATION
Revised October 2017
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Applicant Name: __________________________________________
First Middle Last
Application Date: __________________________________________
Starting Academic Semester: ________________________________________
WELCOME
Congratulations! You are taking your first step to enrolling as a dual enrollment
student at Saint Louis University through the Visiting Young Scholars Program.
Enclosed is your packet to get you started to be approved to start taking
classes.
1. Personal Information (page 2)
2. Biographical Information (page 3)
3. Academic Background (page 4)
Upon completion of your application, we will email your guidance counselor
listed in this application to verify your GPA and current academic standing at
your high school.
PLEASE EMAIL THIS DOCUMENT IN PDF FORMAT TO
VYS@SLU.EDU WHEN COMPLETE.
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VYS Application P age 2!
PERSONAL INFORMATION
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Full Legal Name:
_______________________________________________________________________
Last First Middle Initial
Date of Birth: ______ / _____ / ________
Social Security Number: ___ ___ ___ - ___ ___ - ___ ___ ___ ___
Personal Mailing Address:
Street Line 1
Street Line 2
City State Zip Code
Email Address: _________________________ @ ____________________
Phone Number: ________ - __________ - ___________ ext. _________!
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Parent Email Address: _________________________ @ __________________!
Parent Phone Number: ________ - __________ - ___________ ext. ________!
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VYS Application P age 3!
BIOGRAPHICAL INFORMATION
Gender: ___Male ___Female ___Other!
Citizenship: ___US Citizen If other, country of origin: __________________!
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Marital Status: ___Single ___Married ___Life Partnered
___Divorced ___Widowed ___Other
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Religious Preference: ___Baptist ___Christian Orthodox ___Episcopalian
___Jewish ___Lutheran ___Methodist ___Muslim
___Presbyterian ___Roman Catholic ___Protestant
___No preference ___Other: ___________________!
Ethnicity: ___African American/Black ___Alaskan Native ___Asian
___Caucasian ___Hispanic ___Mexican American
___Native American ___Pacific Islander
Other: ______________
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VYS Application P age 4!
ACADEMIC BACKGRUOND
Current High School:
________________________________________________________________________
High School Advisor or Counselor:
________________________________________________________________________
Counselor Email Address: _________________________ @ ________________
Counselor Number: ________ - __________ - ___________ ext. _________!
Year In High School: ___Sophomore ___Junior ___Senior
Current Cumulative GPA *: __________________________________
* Requires a 2.7 GPA on a 4.0 unweighted scale
SLU COURSE REQUEST
Visiting Young Scholars may take up to 11 credit hours per
academic semester while enrolled in the program. Available courses
can be found by searching the SLU course catalog.
Subject
Course #
Course Name
CRN #
VYS Approval
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Completed 22 March 2020

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