Kings Summer Institute form – Kings Education

Student Information

First Name

Last Name

Gender

Male

Female

Date of Birth

Race/Ethnicity

Are you a citizen or permanent resident of United States or Visiting

Yes

No

Student Email Address

Mobile Phone

Academic Information

Name of the School you are attending and country

Current Cumulative GPA

Untitled

Weighted

Unweighted

I'm not sure

Which of the following courses are you currently enrolled

In which of the following Accelerated, Honors, or Advanced Placement courses have you ever been enrolled

Which of the following standardized tests have you taken?

SAT

ACT

TOEFL

I have never taken any of the standardized tests listed above.

• List the organizations/clubs you belong to and any science/math activities (e.g., science fair, math/science club, Olympiad, etc.) you currently participate in or have participated in. Please include any awards received and offices held.

Leave this space blank if not applicable

How did you hear about Morgan State University's Kings Summer Institute program

Have you previously participated in the KSI program?

Yes

No

RECOMMENDATIONS

Name of the TEACHER who will be submitting a letter of recommendation on your behalf.

Teacher's First Name

Teacher's Last Name

Email Address of your teacher

IMPORTANT: Your teacher will not be contacted until you complete and submit your portion of the application.

My School Counselor

My Principal

ESSAY

Write a 300-500 words essay explaining why you would like to attend the Kings Institute college preparatory program. Enumerate your interest, your college goals, and the benefits anticipated. Upload your essay here in Microsoft Word or PDF, Choose File and Submit.

Upload

ACKNOWLEDGEMENT

I understand the following additional items must be received by the KSI office by the May 26, 2017 deadline in order for my application packet to be considered complete.

Application Packet Checklist

Copy of official high school transcript

Two recommendation letters (new participants only)

Non Refundable Registration fee $100.00

Registration Fee

TOTAL PAYABLE AMOUNT

NAME ON YOUR CARD

CARD NUMBER

CARD EXPIRATION MONTH

CARD EXPIRATION YEAR

CVC

Signature