New Application – Wheelwright Scientific School

Download Statement Document. Your high school Principal/Head Master (or your college Dean/Science Professor) must complete this form and return it to you in a signed and sealed envelope for submission with your application.

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Student Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Date of Birth*

Cell Phone*

Home Phone

Email*

Enter Email Confirm Email

Parent Name*

First Last

Parent Cell Phone*

Parent Home Phone

Parent Email*

Enter Email Confirm Email

Church Name*

Church Minister's Name*

Current School Name*

Current School Head/Dean/Principal*

Name of College/University you plan to attend*

If the college named below ends up changing, please inform the President of the Wheelwright Scientific School as soon as possible.

Address of College/University*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Major*

Tuition*

Projected Tuition Expenses

Meal Plan (on-campus)*

Projected Meal Plan Expenses

Fees (on-campus)*

Projected Fees

Room and Board (on-campus)*

Projected Room and Board Expenses

Total*

Projected Total Expenses

List names and amounts of scholarships, grants, or loans that you will be applying for or have already received:*

Source

Annual Amount

Comment (optional)

Add more rows if needed via the + button.

Submit the names of up to three people who have provided written letters of reference on your behalf. One of the references must be the minister of the church which you attend, and one must be a classroom teacher at your school. Ask each reference to submit their letter in a signed and sealed envelope. Submit the letters to complete your application.

Minister Name*

Teacher Name*

Optional Name

The third reference is optional; it may not be from a family member.

Date