This is ONLY the student application.

 

Application Checklist:

1. Student Application (This form) 

2. Parent Application:

The parent/guardian application and a copy or photo of the following documents MUST ALSO be submitted for your application to be reviewed and approved here: 

3. Recent Report Card or Progress Report 

4. Transcript (For students in grades 10-11)

5.  Income Verification (One of the following)

 

6.  Social Security Card (Required for both U.S. citizens and permanent residents).

7. Green Card (Not Required for U.S. citizens. Required for permanent residents only). 

8. An Interview (30 minutues via Zoom or In person and parent/guardian must be present)

**You may save and complete this application later if you need. Click the save button at the bottom of the form and choose to either create an account, or have the draft of your application emailed to you by clicking on "Skip create an account." 

The information requested on race, ethnicity, and gender is not used in selection. It is only used in reports to the Department of Education in Washington, DC. The University of Rochester or its programs (UB, UBMS, TS) does not discriminate on the basis of sex, race, religion, color, national origin, age or disability in its decisions.

ACKNOWLEDGEMENT FORM

I hereby acknowledge that I have completed the student part of the application to the best of my abilities and that the contents of the application packet are true and accurate. I further acknowledge the following:

(1) In order for my application to be considered complete the application checklist

1. Student Application (This form) 

2. Parent Application:

The parent/guardian application and a copy or photo of the following documents MUST ALSO be submitted for your application to be reviewed and approved here: 

3. Recent Report Card or Progress Report 

4. Transcript (For students in grades 10-11)

5.  Income Verification 

6. Social Security Card (Required for both U.S. citizens and permanent residents).

7. Green Card (Not Required for U.S. citizens. Required for permanent residents only). 

8. An Interview (30 minutues via Zoom or In person and parent/guardian must be present)

**You may save and complete this application later if you need. Click the save button at the bottom of the form and choose to either create an account, or have the draft of your application emailed to you by clicking on "Skip create an account." 

(2) I understand that I must update all personal contact information if there are any changes that occur.

(3) I understand that providing any false information or altered records in this application will result in my ineligibility to be admitted to the program and that if discovered after my admission to the program, will result in termination from the program.

By signing my name below, I acknowledge the statements described above. I further acknowledge that all information and documents provided by me for this application are true and accurate.