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    STAR 2023 Application

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    Please contact the Summer STAR program at STAR@augusta.edu or 706.721.9516 should you have any questions.
    Personal Information
    Birthdate
    Birthdate
    Contact Information
    Permanent Address:
    Permanent Address:
    Permanent address valid from:
    Permanent address valid from:
    Permanent address valid to:
    Permanent address valid to:
    Mailing Address
    Mailing Address
    Mailing address valid from:
    Mailing address valid from:
    Mailing address valid to:
    Mailing address valid to:
    On-Campus Housing Accommodations
    Citizenship Information
    Do you have a social security number/card? Please note, your original social security card is required for employment and participation in the summer program at Augusta University.
    Do you have a social security number/card? Please note, your original social security card is required for employment and participation in the summer program at Augusta University.
    Education
    Please list all colleges you've attended starting with your current institution.
    Started Attending
    Started Attending
    Attended To
    Attended To
    Anticipated Date of Graduation
    Anticipated Date of Graduation
    Additional Colleges
    DeleteCollege _ID_
    Started Attending
    Started Attending
    Attended To
    Attended To
    Add College
    Academic Goals & Honors
    What future academic degrees are you planning to pursue? (check all that apply)
    What future academic degrees are you planning to pursue? (check all that apply)
    Research Experience & Interests
    Please indicate any research experience (if applicable):
    Please indicate any research experience (if applicable):
    Personal Statement Prompts
    Miscellaneous Information
    Have you been vaccinated against the Hepatitis B virus?
    Have you been vaccinated against the Hepatitis B virus?
    Are you available to begin on the first day of the summer session?
    Are you available to begin on the first day of the summer session?
    Are you available to complete the full session?
    Are you available to complete the full session?
    Health Insurance Coverage
    Submission

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    Last modified: March 25, 2019 by Heather Hopkins