Bucknell Academy Summer Experience Application

First Name*

Preferred First Name*

Last Name*

Sex*

Female

Male

If you would like the opportunity, we invite you to share more about your gender identity below:

Date of Birth*

Primary Citizenship*

Dual Citizenship (if applicable)

Other Citizenship (if applicable)

Check one or more that apply. Are you:

Are you Hispanic?

Yes

No

Are you a first-generation college student?

Yes

No

Religious affiliation

Permanent Address*

Country

Street

City

Region

Postal Code

Student's Home Phone*

Student's Mobile Phone*

I give permission to be contacted by Bucknell via mobile phone, which may include phone calls or text messaging.

Student's Email Address*

Parent or Guardian's First and Last Name*

Parent or Guardian's Relationship to Student*

Parent or Guardian Email Address*

Parent or Guardian Mobile Phone*

Do you participate in a Community Based Organization (CBO)? *

Yes

No

Please select the CBO you work with*

Please provide the name of the CBO*

High School*

High School CEEB Code*

Expected Graduation Year*

High School GPA*

Weighted

Unweighted

Junior/Sophomore Year Courses (including honors AP/IB/college courses)*

Total SAT/PSAT (optional)

ACT composite score (optional)

Please select your top 3 interests (use the CTRL key when selecting multiple interests)

Extracurricular Interests

Arts Interests

Primary Academic Interest*

Secondary Academic Interest

Are you requesting financial assistance? (Note: A limited number of applicants may receive financial assistance based on need. Applicants interested in assistance should ask their school counselor or CBO sponsor to write a letter attesting to the student's need and send to BASE@bucknell.edu)*

Yes

No

Essay Questions (Please address one of the following questions in 250 words or less)

If you could design your own semester-long high school course, what would it be called? What topic or topics would be covered? What would students learn from this course?

If you had a magic wand that was able to fix anything, what thing or things would you ask it to fix? How do you envision the wand “fixing” the thing or things?

“Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it’s the only thing that ever has.” How, and in what way, would you change the world? What steps would you take to elicit such change(s)?*

Upload transcript here

All academic transcripts not uploaded with your BASE application are to be submitted to BASE@bucknell.edu.

Academic Clubs
Campus Ministry/Religious Life
Community Service
Computing/Technology
Cultural Events
Debate Team
Entertainment/Social Life
Environment or Ecology
Film Studies
Foreign Study - Study Abroad
International Organizations
Internships
Intramural and Club Sports
Leadership/Student Government
LGBTQ-Lesbian-Gay-Bi-Transgndr
Multicultural Organizations
News Media (Print/Radio/TV)
Political Activities
R O T C
Robotics
Volunteer/Service Organization
Other

Bucknell Academy Summer Experience Application

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