Application Form: Part One

Student's Name *
Student's Name
Personal Information
Address
Address
Home Phone
Home Phone
Student's Cell Phone
Student's Cell Phone
What is the name of your high school?
What year in school will you be in the Fall of 2017?
Program Information
How did you hear about BLUR? *
In the space above, please write a brief (500-750 words) statement of intent describing why you would like to participate in the BLUR Program. Be specific in terms of your goals and aspirations, as well as how you think you would benefit from the experience. Be honest--and be creative. You may cut and paste the essay from a draft document, if you wish.
If yes, indicate which in the space below, and be sure to complete and submit a Financial Aid/ Scholarship Form
Please submit Application below, and then submit your creative material and a letter of recommendation to the director at blurdirector@sbc.edu.