Please complete this application to be considered for MIT's Weekend Immersion in Science & Engineering (WISE) Programs taking place September 17-September 19, 2017 and October 1-October 3, 2017.   Please note that this application has two pages and should take approximately 45-60 minutes to complete. If you would like to create an account to save your application and return to complete or edit your submission at a later time, click here. (Creating an account will only be for the WISE application; this information will not be kept for other purposes.) 
Please check all dates you are eligible to attend: *
 WISE 1 (September 17-19, 2017)
 WISE 2 (October 1-3, 2017)
First Name *
 
MI
 
Preferred Name
 
Last Name *
 
Address 1 *
 
Address 2
 
City *
 
State (Two Letter Abbreviation) *
 
Zip *
 
Cell Phone *
 
Secondary Phone
 
Email Address *
 
Date of Birth *
 
Sex
 Male
 Female
Ethnicity (Check all that apply)
 African-American
 Asian American
 Caucasian
 Hispanic/Latino:
 Mexican American
 Puerto Rican
 Cuban
 Dominican
 Other Hispanic/Latino
 Native American/Pacific Islander
 Other
Have you attended an MIT on campus information session or an MIT Admissions meeting in your area? *
 No
 Yes (list location)
Will you be attending any of the following MIT-affiliated summer programs? *
 

Family Information

Will you be the first in your family to graduate from a 4-year college or university?
 
Do you have any family members or relatives who are MIT alumni?
 
If yes, you can provide their names here.
 
 
 
Parent/Guardian Name #1
 
Parent/Guardian #1 Highest Level of Education Completed
 
Parent/Guardian Name #2
 
Parent/Guardian #2 Highest Level of Education Completed
 
Parent/Guardian Phone
 
Please check all that apply to you
 I plan to request fee waivers for my college applications
 I qualify for free/reduced lunch

Academic Information

High School Name
 
High School City *
 
High School State *
 
Intended Major
 
SAT Math Score
 
SAT Reading Score
 
SAT II Math Score
 
SAT II Science Score
 
ACT Math Score
 
ACT Reading Score
 
PSAT Math Score
 
PSAT Critical Reading Score
 
PLAN Math Score
 
PLAN English Score
 
Anticipated 12th Grade Math:
 
Anticipated 12th Grade Science(s):
 
If you have taken any AP exams, please select the exam score earned for the following courses. 
 54321Planning to Take
Biology
 
 
 
 
 
 
Chemistry
 
 
 
 
 
 
Physics 1
 
 
 
 
 
 
Physics 2
 
 
 
 
 
 
Physics C: E&M
 
 
 
 
 
 
Physics C: Mechanics
 
 
 
 
 
 
Calculus AB
 
 
 
 
 
 
Calculus BC
 
 
 
 
 
 
Please submit your scores if you have participated in either contest:
AMC Score:
 
AIME Score:
 
Please upload an unofficial transcript that includes your completed 11th grade year. *
 
Extracurricular Activities 
 ActivityYears Active
1  
2  
3  
4  
5  
Are you involved in a college access program? Which one(s)?
 

Short Answers

Please tell us more about your cultural background and identity in the space below. (250 words)
 
 
 
 
 
 
 
Why are you interested in attending the WISE program? (250 words) *
 
 
 
 
 
 
 
Additional information you'd like to share with us: