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Date of Birth (mm/dd/yyyy)
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High School Information
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Which of the following Math subjects have you completed or are currently enrolled? (Mark all that apply)
Which of the following Science subjects have you completed or are currently enrolled? (Mark all that apply)
Drag the subject name to rank your level of interest in each of the following subject areas:
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    Biology
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    Chemistry
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    Mathematics
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    Engineering
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    Health Sciences and Medicine
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    Humanities
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Current High School Grade Level
What are your expectations for the BIOMED Summer Academy? How do you think the program will help you in achieving your goals?
In your own words, how do you define Biomedical Engineering?
Rank (1, 2) your session preference.
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    Session I: July 7-11
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    Session II: July 14-18
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    Session III: July 21-25
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    Session IIII: July 28-August 1
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Academic Information
Please attach a scanned copy of your current high school transcript that displays your latest GPA and SAT scores (if you have taken the SAT).
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In order to complete your application, you will need a science/math teacher to a recommendation. Please provide the information below so the recommendation can be requested.
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