2024 PICNICS APPLICATION

2024 PICNICS APPLICATION
Applicant Name*

First NameLast Name
Applicant Email
Applicant Cell Phone Number (if applicable)

Area CodePhone Number
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth:*

MonthDayYear
Grade Entering Fall of 2024:
High School
You selected other for High School Please list your school
High School GPA (optional):
Sex
Race (Optional)
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email Address*
Home Phone Number*

Area CodePhone Number
How did you hear about the PICNICS
You selected other, please share how you heard about the PICNICS program
Select an area of interest
Select a second area of interest

Chemistry

	Most Interested - 1st Choice	Kinda Interested - 2nd Choice	Least Interested - 3rd Choice
Chemistry
Biochemistry
Physics

Application Questions and Materials to be Completed by Youth Applicant

Incomplete responses or responses filled in by someone other than the applicant may forfeit the application
Name an event or an activity that has had a powerful impact on you. Describe the impact and why it was important to you.*

0/150
Write an essay on your interests and/or experiences that you feel qualify you for the PICNICS program. (Max. 150 words)*

0/150
If you have received any awards or recognition for science or math achievement, indicate the awarding institution, name and date of the award, and the title of your project or paper. Clearly describe what you did to earn the awards or recognitions.*
Are you involved in any special science projects, activities, research, etc., that are not otherwise covered by questions above. If so, please write a brief description of this activity.*
Write an essay of 100-words or less, indicating why you wish to participate in the PICNICS program and what you hope to gain from the experience.*

0/100
Please check the subjects in which you will have completed courses by the end of the school year.

Algebra 1BiologyChemistryGeometryPhysicsTrigonometry
I certify that all of the above information is correct to the best of my knowledge. I acknowledge that information about me and the research I will conduct, if selected to attend the PICNICS program, may be used for purposes of program publicity or dissemination of research results. I understand that I will be required to attend a chemical and laboratory safety course to be administered at no cost by the BGSU Safety Office before the start of the program. In the event that I am injured on the BGSU campus during my participation in the PICNICS program, I will not hold the high school, Bowling Green State University, the Center for Pure and Applied photosciences, Department of chemistry, College or arts and sciences, the laboratory researchers liable for the accident. I further recognize that arranging for the submission of a complete application to the PICNICS program is my responsibility. I understand that the employees of my school may release personal information necessary for this application (e.g. transcripts). Except for family emergencies, there will be no excused absences from the laboratory to which I am assigned for the summer. I understand that I will be expected to be in attendance for the full six weeks of the program.
Application File Uploads
Attach a Transcript or Test Scores

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Name of Reference #1*

First NameLast Name
Email of Reference #1*
Name of Reference #2

First NameLast Name
Email of Reference #2
Additional References

First NameLast Name
LETTER OF REFFERENCE FORMS

Please send your reccomender to the following website to complete their letter of reccomendation: www.bgsu.edu/picnicslor
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2024 PICNICS APPLICATION

Application Questions and Materials to be Completed by Youth Applicant

Application File Uploads