Application Form

Summer Analytical Chemistry Program
at University of Delaware Chemistry & Biochemistry Department

Name of Student Applicant: M/F:
Date of Birth:
Student Address: High School:
  High School Address:
Phone: ( ) High School Phone: ( )

Academic Information

GPA: PSAT (if available): Other:

Fill in AP subjects and test scores

When will your AP Chemistry test score be available?

Other Information to Provide. Compile all of the following information and send it to me at the UD address given below as one complete packet.

Due date. Applications are due by April 15, but early applicants will stand a better chance of acceptance since slots will be filled as applicants are received. Remember, your teachers (letter writers) may be hard to contact after school is out for the summer. If you intend to apply after the deadline, please call me first to see if slots are still available (they may be!).

Mrs. Lisa Robinson
Department of Chemistry & Biochemistry
106 Brown Lab
Newark, DE 19716

302-831-3614 (leave message if no answer)

(Parent questions welcomed and encouraged.)
Howard Hughes Medical Institute Program