Wufoo
RAHI student application 2015
May 26 - July 10, 2015
907-474-5876 or
1-800-478-6886
rahi@alaska.edu
All application materials must be received in the RAHI office by March 1, 2015.
PLEASE NOTE!
Once you begin this application, you must complete it. You cannot return and add more information later.
If you need to email essays at a different time, please contact the office.
I am applying for:
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RAHI
RAHI Research
Name
First
Last
Student's middle inital
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Student's email
Student's mailing address
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City
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State
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Zip code
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Date of birth
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MM
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DD
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YYYY
Gender
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Male
Female
Current grade level
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Junior
Senior
How many years have you lived in Alaska?
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Student's phone number
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Education information
School your are now attending
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School mailing address
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School city
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School zip code
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Graduation/last day of school
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Counselor's name
First
Last
Counselor's email
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School phone number
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School FAX Number
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List other schools attended. Please include
dates, grades, and reason for leaving.
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Please list any courses taken for college credits at your high school, through a university or other program. Please indicate number of college credits awarded.
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Academic honors received
Have you been accepted at any colleges or universities? If so, please provide the name of school and location.
Name of other summer programs and dates attended.
The University of Alaska Fairbanks is an affirmative action/equal opportunity employer and educational institution and is a part of the University of Alaska system.
Do you require any physical, medical, dietary or other accommodations? If so, please describe.
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Personal information
Father's name
First
Last
Father's email address
Father's home number
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Father's work number
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Father's mailing address
Father's city
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Father's zip code
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Father's village corporation:
Father's regional corporation:
Father's tribal affiliation:
Mother's name
First
Last
Mother's email
Mother's home number
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Mother's work number
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Mother's mailing address
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Mother's city
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Mother's zip code
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Mother's village corporation
Mother's regional corporation
Mother's tribal affiliation:
With whom do you make your permanent home?
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Father
Mother
Legal guardian
Other relative
Legal guardian (if applicable)
First
Last
Guardian's email address
Guadian mailing address
Guardian city
Guardian zip code
Guardian home number
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Guardian work number
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Ethnicity (this section is optional, but is very helpful to our database)
Athabascan
Aleut
Haida
Inupiaq
Siberian Yup'ik
Tlingit
Tsimpshian
Yup'ik
American Indian
Asian American
Hispanic
Native Hawaiian, Pacific Islander
African American, Black
White or Caucasian
Other
ESSAYS (required)
Essays are a large part of the selection process - please show us your best work.
These essays must be your own work!
Short Essay
Please describe a book that you have read recently and why you enjoyed it.
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Please note:
If you are having trouble uploading the essays, you can email them to rahi@alaska.edu (please sure to include your name on each essay).
Long Essays - each essay must be a minimum of 300 words.
You can write your essay in a word processing program and upload to this application.
Please answer 2 of the 4 essay prompts.
RAHI Research applicants must answer #4.
1. Discuss some issue of personal, local, national, or international concern and its importance to you.
2. Describe a historical figure (author or character from story) from science, politics, literature , art, music, etc., that has had an influence on you and explain that influence.
3. Describe your dream job and what steps would you take to get there.
4. What does science mean to you, and why are you interested in pursuing science?
Essay 1 (required)
If you are not able to upload the file here, please email it to rahi@alaska.edu
Essay 2 (required)
If you are not able to upload the file here, please email it to rahi@alaska.edu
ABSOLUTELY no tobacco, firearms, alcohol or illegal drug use or possession is allowed at RAHI. Can you agree with this?
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Yes
No
I certify that all information in my application is the true and the essays are my own work.
If selected, I agree to fully participate in all academic and social activities from May 26 - July 10, 2015.
By typing your name here, you agree to the terms of this program.
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Please tell us how you heard about RAHI.
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Do Not Fill This Out