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SUMMER APPRENTICESHIP PROGRAM (SAP)

KENTUCKY STATE UNIVERSITY

June 23rd to July 14th, 2024

All application packages must be received or postmarked by May 25, 2024. Application packages postmarked after the deadline may not be accepted. Incomplete applications will not be considered.

Eligibility Requirements:

1. Rising high school junior/senior
2. Interest in STEM (Science, Technology, Engineering, and Mathematics) and related fields such as Agriculture and Environmental Studies
3. A preferred minimum GPA of 3.0

Applicant Information

First name Middle name Last name

Email___

Street ___ Apt #___

City _____ State _____ ZIP _____

County_____ Phone_____

Social Networking Facebook □ Instagram □ Twitter □ Other □

Race/Ethnicity ___

Personal Information

Gender ☐ Female ☐ Male Birthdate (MM/DD)___ ___

Age (by June 23, 2024) ___ T-shirt Size ___

Name of the school you currently attend: ___

___

Expected Graduation Date: Month/Year___

(Roommate requests are accommodated when both individuals mutually request each other)

If possible, I would like to room with:

Parent/Guardian Contact Information

Alternative Emergency Contact Information

First name Middle name Last name ___

Evening phone_____

Day phone_____

Cell phone_____

Email___ First name Middle name

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Last name

Evening phone_____

Day phone_____

Cell phone_____

Email ___

This program is supported by National Science Foundation Historically Black College and Universities-Undergraduate Program (NSF-HBCU-UP) to promote minority students' participation in STEAM-undergraduate degree programs.

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Please provide responses to the following prompts.

Respond to prompts #1-4 on separate sheets of paper and be sure to include your name on each sheet.

1. Please list the STEM-related courses you have taken or plan to take, and share your perspective on their importance for your future career goals? (250-word limit)
2. Explain your thoughts on Agriculture, Environment, and Unmanned Aerial Vehicle (UAV) Drone application and their respective roles in achieving food security, maintaining a healthy environment, and sustainable resource management. (300-word limit)
3. Why are you interested in attending KSU's Summer Apprenticeship Program (SAP), and what specific knowledge or skills do you hope to gain from this experience? (200-word limit)
4. List the following you are involved in:
5. a.Any extracurricular activities or clubs (e.g., volleyball, choir, FFA)
6. b.Hobbies (e.g., stamp collecting, rock climbing)
7. c.Community organizations, memberships, and past volunteer work (e.g., 4-H, religious organizations, YMCA)
5. Please rate your level of interest for Experiential Research in the following topics: (Rate between 1 and 10, with 10 being most interested and 1 being least interested)

Computer Science

Aquaculture

___Aquatic Ecosystems

___Fish Genetics

Aquaponics

__Identifying Fish Diseases

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Teacher Recommendations

Ask your current science and math teachers to complete this section. A typed recommendation can be attached if available, but please ensure signatures are on the application.

Summer Apprenticeship Program (SAP) at Kentucky State University is a competitive scholarship program that offers participants college preparation, STEM education and career exploration, and research opportunities. Students should be recommended if they are motivated and interested in experiential STEM learning and research.

Comments (to be completed by a Math or Science teacher that can attest to your preparedness in the STEM fields)

Teacher Signature ___ Title ___ Date ___ / ___ /

Teacher Printed Name, Phone, and Email ___

Comments (to be completed by any teacher or administrator that can attest to your work ethic and development as a student)

Teacher Signature ___ Title ___ Date ___ / ___ /

Teacher Printed Name, Phone, and Email ___

School Transcript

Enclose your latest official transcript, covering all coursework through the first semester of this year, and have your Guidance Counselor specify the following:

Cumulative GPA___

(Note: If your school uses a grading system other than the 4.0 scale, an explanation of the method must accompany the official transcript).

Counselor Name (printed)___Signature___Date___/___/___Counselor Email:___

How did you hear about our program?

□Counselor or Teacher □KSU website □Email □Friend □Church □Recruiting Event □KSU recruitment activity Prior participant (in KSU youth programming): Program(s) _____ Year(s) Attended _____ Other sources (please specify)

Other sources (please specify)___

Parent/Guardian Consent

I authorize of my son/daughter to submit this application for the KSU Summer Apprenticeship Program. I understand participants are selected on a competitive basis, so not everyone will be accepted for the program.

Parent Signature\_\_\_ Date\_\_\_ / \_\_\_ /

_____

Applicant Signature

Applicant Signature\_\_ Date / /

Submit to by email to buddhi.gyawali@kysu.edu or mail to: Dr. Buddhi Gyawali Director of SAP and Professor of Geospatial Applications 400 East Main Street Cooperative Extension Building Room 225 Kentucky State University, Frankfort, KY 40601 This institution is an equal opportunity provider.