WPI Launch Registration

Prefill section - To Be Hidden

Application ID

Exists

yes

UES Registration ID

Contact ID

Hidden Section

prediscountTotal- to be hidden

Current Year

high school graduation year

discountAmount- to be hidden

paymentAmountConfirmed-to be hidden

Launch Registration

Participant Name

Launch Program

Tuition

Tuition paid

Tuition balance

Participant Information

Participant First Name

Participant Middle Name

Participant Last Name

Participant Suffix

Participant Date of Birth

Nickname or preferred name, if different from legal name above. If you provide another first name, we may use it in future communications. Keep in mind that these communications could include messages to parents or recommenders. If you are not comfortable having some people know this first name, you do not need to share it at this time.

Participant Email Address

Home Phone

Preferred Mobile Phone (The number to reach the participant while the program is in session)

Sex assigned at birth

Gender Identity

Gender Identity, if not listed

What grade is the participant currently in?

Mailing Address

Street Address

City

State

Postal Code

Country

School Information

Select your school. If not found, select Unknown School

Section to be hidden

Account Name - Hidden

Account ID - Hidden

Account State - Hidden

Account City - Hidden

Account ceeb - Hidden

Account Country - Hidden

Please enter the name and address of the school you currently attend, if not found in the above list.

School Name

Street Address

City

State

Postal Code

Country

Demographic Information

Citizenship

Country of Citizenship

Please specify your primary language if not English

Federal agencies, accrediting associations, grant foundations, college guides, and the media ask us to provide statistical information on the ethnic and racial identity of our students and employees. In order to respond to these requests, we ask you to answer the following two questions (which are based on federal guidelines).

The US Standards for the Classification of Federal Data on Race and Identity classify a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race, as "Hispanic or Latino".

American Indian or Alaska Native: "A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment."

What is your ethnicity?

Please select one or more of the following to indicate your racial identity or identities.

Parent/Guardian Information

Relationship to Student

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian email

Parent/Guardian Phone (The number to reach the parent or guardian while the program is in session)

Parent/Guardian Mailing Address

Street Address

City

State

Postal Code

Country

Choose Program

Program

If you do not see a program listed, the program is full. Please make another selection to participate with us this summer.

Program ID to be hidden

Waiting List

The following programs are currently full, however, you may select one to register for the waiting list.

Waiting List

Waiting List Program ID - to be hidden

Additional Information

Are you applying for tuition assistance?

Please be advised that an initial deposit of $300 will be required to be paid today. Our team will review your request for tuition assistance within the next 7 business days and will email you with a decision. At that time you will be notified if an additional balance is required.

If you have coupon code, please enter it here:

Optional Tuition Assistance

In order for us to evaluate your financial need, we ask that you answer all the items on this application and, where indicated, include explanations. We cannot consider applications with incomplete or unexplained items.

We offer a limited number of partial tuition assistance scholarships that are awarded based on a family's demonstrated financial need, a student's academic achievement and promise, and the availability of funds. We operate independently of WPI's Office of Financial Aid.

Please explain family situation, if other:

Number of additional dependents besides applicant:

Annual tuition paid or other unusual expenses for these additional dependants:

Family's Annual Income and Expenses in U.S. Dollars

Yearly salary and wages before taxes from most recent tax year. (Include all household sources of income, including any from a non-custodial parent)

Please enter amounts in numbers only with no commas or special characters.

Parent or guardian 1 - Gross salary and wages (Current Tax Year)

Parent or guardian 2 - Gross salary and wages (Current Tax Year). If not available, please enter 0.

Monthly rent or mortgage payments for the current year

Please give us a realistic and accurate amount that you will pay towards the Launch Program tuition (if this is left blank, we are unable to consider the applicant for assistance, even if they meet merit criteria).

Please explain any unusual circumstances or extraordinary expenses that may affect your ability to pay for the program.

Please note that a tuition payment is required to confirm your attendance. Please review our refund policy.

Payment amount

Please click the Submit button to register. No payment is required for registration as tuition is included in the Summer Scholars program.

Tuition Payment

Cardholder first name

Cardholder last name

Cardholder email address

Cardholder country

Cardholder ZIP/postal code

Credit card number

Enter the full credit card number.

Expiration month

Enter the two digit month, numbers only.

Expiration year

Enter the four digit year, numbers only.

CVV

The CVV is the three or four digit number on the front or back of your card.

Please contact the Pre-collegiate Outreach Programs Office at pop@wpi.edu or 508-831-4900 with any questions regarding registration. Please review our refund policy.

Pre-collegiate Outreach Programs

Worcester Polytechnic Institute

100 Institute Road | Worcester, MA 01609-2280

P: 508.831.4900 | F: 508.831.5188

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