BSHS 2021 APPLICATION
Please answer the following questions completely in order to be considered for Brown Summer High School 2021.
BSHS will take place on Brown University's campus from July 12-23, 2021.
For more information, check out our website at brown.edu/go/summerhighschool or email us bshs@brown.edu..
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Last Name *
First Name *
Street Address *
City *
State *
Zip *
Phone *
e.g. 123-456-7890
Student's Email *
Student's Current School *
Student's Grade in the Fall, Fall 2021 *
Please choose your grade from the dropdown list below.
Student's School, Fall 2021 *
Date of Birth (Students must be 14 by September 1, 2021) *
ex: 8/31/2003
PARENT / GUARDIAN INFORMATION
Parent / Guardian Name *
(First Last)
Parent / Guardian Email
Daytime Phone *
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