2010 PACE Application Form

Thank you for applying to the 2010 ATMO PACE program. Please fill in all information as completely and accurately as possible. Upon submission, you should receive a confirmation email. If you do not receive a confirmation email, please contact ATMO at 443-885-4490 to make sure your application was received.

*Required Fields - In order to successfully submit this application, the following fields must be specified.
Gender
Date of Birth
First Name, Last Name
Email Address, Home Phone
Address, City, State, Zip Code
Emergency Contact, Relationship, Home Phone
High School Name, High School Address, High School City, High School State, High School Zip Code
High School GPA, Intended Major
SAT Examination Date(1), SAT Math(1), SAT Verbal(1), SAT Writing (1)

Personal Information

Gender Female Male
Date of Birth
First Name
Middle Name/Initial
Last Name
Email Address
Verify Email Address
Home Phone (e.g. xxx-xxx-xxxx)
Cell Phone (e.g. xxx-xxx-xxxx)
Work Phone (e.g. xxx-xxx-xxxx)
Address
Address 2
City State Zip Code

Emergency Contact Information

Emergency Contact
Relationship
Email
Cell Phone (e.g. xxx-xxx-xxxx)
Work Phone (e.g. xxx-xxx-xxxx)
Home Phone (e.g. xxx-xxx-xxxx)

High School Information

High School Name
High School Address
City State Zip
High School GPA
ACT Test Date
ACT Scores English Math Science Reading
Intended Major

SAT Scores

Please enter the SAT scores you received for up to three examination dates. Please be sure the examination dates entered are accurate. Once submitted, the dates cannot be changed. If the Writing component of the SAT was not taken, enter a score of zero. Do not leave it blank.
Examination Date (1)
Scores (1) Math Verbal Writing
Examination Date (2)
Scores (2) Math Verbal Writing
Examination Date (3)
Scores (3) Math Verbal Writing

Student Information

Hobbies
Please list any hobbies and interests you have. (Max. 3000 characters)
Science Activities
Describe briefly your participation in science and/or math activities both in and out of school (includes clubs, fairs, position of leadership, etc.). (Max. 3000 characters)
Non-Science Activities
Describe briefly your participation in non-science or math activities both in and out of school (include athletics, orchestra, band, clubs, debates, etc.). (Max. 3000 characters)
Achievements
Describe achievements of which you are most proud (include community, church, family, school). (Max. 3000 characters)
Honors
List honors received both in and out of school. (Max. 3000 characters)

Parental Consent

As a parent/guardian, I certify that my son/daughter/dependent has my permission to participate in the 2010 ATMO PACE program at Morgan State University. It is my understanding that he/she will be subject to the regulations of Morgan State University and the program. I understand that should a health emergency arise, I will be notified, but if I cannot be reached by telephone, such medical treatment as deemed necessary by competent medical personnel will be authorized.

Parent/Guardian Clicking here certifies that the parent/guardian agrees to above statement.
Student Applicant Clicking here certifies that the student applicant agrees to above statement.
  You will be notified by email upon successful submission of this application.
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