Summer Immersion Financial Trading Scholar Program

Thank you for your interest in this program, which will be online for two weeks: July 19-30, 2021.

Please complete the following form in order to begin the summer high school student application process. Fields with a red asterisk are required.

Personal Information

First Name*

Middle Name

Last Name*

Birthdate*

Contact Information

Email Address*

Phone Number*

What type of phone number is this?

Primary Phone

Mobile Phone

Would you like to opt-in to receiving SMS (text) messages from Roosevelt University?

Yes

No

Mailing Address*

Country

Street

City

Region

Postal Code

Parent Information

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email:*

Academic History

Please select the high school you currently attend or most recently attended.

Search for School *

CEEB Code

What is your High School GPA (4pt Scale):*

In September you will be a:*

Housing Options

As part of summer immersion program there is an option to stay on campus which is included in the program fee.

Are you interested in staying on campus during the program?

Yes

No

Promotion

How did you learn about the Roosevelt Summer High School Program?

Background Question

Have you ever been adjudicated guilty or convicted of a felony? If the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise ordered by a court to be kept confidential, you are not required to answer "Yes" to this question, or provide an explanation*

Yes

No

Please provide the date of the incident, explain the circumstances, and reflect on what you learned from the experience. This detailed description will be required in the review of your application. *

Certification and Signature

Please affirm the following before you submit your application. By checking "yes," I verify that the information I submit in this application is complete and accurate to the best of my knowledge. I understand that this application is not valid if information is withheld or misrepresented. I further realize that if I am permitted to register pending receipt of my final records, the University reserves the right to cancel my registration if my official records are found to be unsatisfactory*

Yes

No

The electronic signature consists simply of your name, typed by you on your keyboard. The signature is your confirmation that the application you have filled out is your own work and the information is factually true. Once you type in your name, this will count as your electronic signature*

Parent/Guardian Signature
The electronic signature consists simply of your name, typed by you on your keyboard. The signature is your confirmation that the application you have filled out is your own work and the information is factually true. Once you type in your name, this will count as your electronic signature*