Application Form Application Form To apply, please complete the form below and provide the required documents. APPLICANT INFORMATIONStudent ID Number*Please enter the applicant's unique ID number from their current school.First Name*Middle InitialLast Name*Date of Birth* Date Format: MM slash DD slash YYYY Ethnicity*Black/African AmericanAsianAmerican Indian or Alaska NativeHispanic/LatinoNative Hawaiian/Pacific IslanderOtherIf other, please list ethnicity.*Gender*MaleFemaleTransHigh School*Affton High SchoolAlthoff Catholic High SchoolAlton East High SchoolBarat AcademyBayless Senior High SchoolBeaumont High SchoolBelleville East Township High SchoolBelleville West High SchoolBishop DuBourgBowling Green High SchoolBrentwood High SchoolCahokia High SchoolCardinal Ritter College Prep High SchoolCarnahan High School of the FutureCentral VPA High SchoolChaminadeChristian Brothers College High SchoolClayton High SchoolCleveland NJROTC AcademyClopton High SchoolCollinsville High SchoolCommunity High SchoolConfluence Prep AcademyCor Jesu AcademyCrossroads College Prep SchoolDerby High SchoolDeSmet High SchoolEast St. Louis Senior High SchoolEdwardsville High SchoolElsberry High SchoolEureka High SchoolFox Senior High SchoolGateway STEM High SchoolHallsville High SchoolHancock Place High SchoolHannibal Senior High SchoolHazelwood East High SchoolHazelwood West High SchoolHolt High SchoolIncarnate Word AcademyJennings Senior High SchoolJohn BurroughsJohn F Kennedy High SchoolKirkwood High SchoolLadue Horton Watkins High SchoolLafayette High SchoolLindbergh High SchoolLouisiana High SchoolLutheran North High SchoolLutheran South High SchoolMaplewood Richmond Heights High SchoolMarquette High SchoolMascoutah High SchoolMcCluer High SchoolMcCluer North High SchoolMcCluer South Berkeley High SchoolMcKinley Classical Leadership AcademyMehlville High SchoolMetro Academic and Classical High SchoolMexico Senior High SchoolMICDAMissouri AcademyMontgomery County High SchoolNerinx HallNew Life Christian SchoolNormandy High SchoolNorth Callaway High SchoolNorthwest High SchoolNotre Dame High SchoolO'Fallon Township High SchoolOakville High SchoolPacific High SchoolParis High SchoolPark Hill Senior High SchoolParkway Central High SchoolParkway North High SchoolParkway South High SchoolParkway West High SchoolPattonville High SchoolRockwood Summit High SchoolRosati-Kain High SchoolSeckman High SchoolSilex High SchoolSmithville High SchoolSt. Joseph's AcademySt. Louis Priory SchoolSt. Louis University High SchoolSt. Mary's High SchoolSturgeon High SchoolSumner High SchoolTrinity High SchoolTroy Buchanan High SchoolUrsuline AcademyValley Park High SchoolVan-Far Jr/Sr High SchoolVashon High SchoolVianney High SchoolVilla DuchesneVisitation AcademcyWebster Groves High SchoolWestminster Christian AcademyWhitfield SchoolWinfield High SchoolOtherIf other, please list high school.*Current Grade Level*H.S. FreshmanH.S. SophomoreH.S. JuniorH.S. SeniorT-Shirt SizeLadies Small (S)Ladies Medium (M)Ladies Large (L)Ladies Extra Large (XL)Ladies 2Extra Large (XXL)Mens Small (S)Mens Medium (M)Mens Large (L)Mens Extra Large (XL)Mens 2Extra Large (XXL)To be sure we have proper inventory in your size.Allergies (include food allergies or physical limitations)APPLICANT CONTACT INFORMATIONAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mobile Phone*Your Email* Enter Email Confirm Email APPLICANT BACKGROUND PLEASE NOTE: We use the applicant's Statement of Interest to make enrollment decisions. Use the following form field to provide a detailed statement outlining why the student is applying to BESt.Statement of Interest* Extracurricular / Volunteer Activity - ONE*List the first of the two minimum required above.Extracurricular / Volunteer Activity - TWO*List the second of the two minimum required above.Additional Extracurricular / Volunteer Activities List up to three additional.DEMOGRAPHIC BACKGROUNDNumber of Parents/Guardians in the Home*123 or moreTotal Number of Children in the Home*12345678910 or moreTotal Household Income*Less than $25,000$25,000 – $34,999$35,000 – $49,999$50,000 – $74,999$75,000 – $99,999$100,000+PARENT / GUARDIAN INFORMATIONParent / Guardian's First Name*Parent / Guardian's Last Name*Parent / Guardian's Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent / Guardian Phone*Parent / Guardian Email* Enter Email Confirm Email Text and Email Message Approval* Agree All students will receive notifications via text and email. Are you comfortable with the applying student receiving texts and emails from BESt?ENROLLMENT INFORMATIONPlease note: BESt I is designed for current Freshman students that will be entering their Sophomore year. BESt II is designed for current Sophomore students that will be entering their Junior year. BESt III is designed for current Junior students that will be entering their Senior year. BESt IV is designed for current Senior students that will be entering their Freshman year in College. What BESt program are you applying for?*Choose OneBESt IBESt IIBESt IIIBESt IVHave you ever applied to BESt before?*YesNoIf yes, when? (indicate most recent)MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear2008200920102011201220132014201520162017201820192020Have you ever participated in BESt before?*YesNoIf yes, what program? (indicate most recent)Choose OneBESt IBESt IIBESt IIIand when?Choose One200920102011201220132014201520162017201820192020How would you rank your interest in healthcare on a scale of 1-5?*Choose One12345(1 is least and 5 is most)How did you find out about the BESt Institute?*Choose OneWebsiteSocial MediaHigh SchoolNewspaperWord of MouthCollege FairOtherIf other, explainREQUIRED DOCUMENTS AND TEST SCORESApplicants are required to upload all application document via this website, including: A completed parent/guardian and student release of information form. (Click here to download form.) A current, official transcript from the student’s current school. BESt III and BESt IV Applicants – Accuplacer Test Results. Optional. BESt III and BESt IV Applicants – A signed authorization for the release of information from your school, giving BESt the ability to request your official ACT results. Optional. (Click here to download form.) BESt III and BESt IV Applicants – A copy of your most recent standardized test scores (ACT or SAT). Optional. 1. Completed Parent/Guardian and Student Release information form*A completed parent/guardian and student release of information form. 10MB file upload limit. Drop files here or Accepted file types: pdf. 2. Coursework / Transcript*Please upload student's high school transcript. For students in-progress, please provide information concurrent coursework and units. 10MB file upload limit. Drop files here or Accepted file types: pdf. 3. Accuplacer Test ResultsOptional: Please upload student's Accuplacer test results. (BESt III, and BESt IV applicants only.) 10MB file upload limit. Drop files here or Accepted file types: pdf. 4. ACT Release of Information FormOptional: A signed authorization for the release of information from your school, giving BESt the ability to request your official ACT results. (BESt III and BESt IV applicants only.) 10MB file upload limit. Drop files here or Accepted file types: pdf. 5. ACT or SAT Test ScoresOptional: Please upload student's ACT or SAT Test Score Report. (BESt III and BESt IV applicants only.) 10MB file upload limit. Drop files here or Accepted file types: pdf. IMPORTANT NOTE - RECOMMENDATION LETTER SUBMISSIONAt least two (2) letters of recommendation are required relating to each applicant. Recommendation letters should be submitted online. Applicants should provide recommenders with their Student ID number and request that all letters be submitted HERE prior to the April 12, 2021 materials submission deadline. Recommendation letters that are not submit online can be submitted via email to Misha-Renee Hart by April 12, 2021.Recommendation Letter Request*Yes - I agree to contact recommenders and request that letters of recommendation be submitted prior to the April 12, 2021 materials submission deadline.EQUAL EMPLOYMENT OPPORTUNITYThe BESt Pharmacy Summer Institute consider all applicants for participation on the basis of their qualifications, skills and abilities for the program, with or without reasonable accommodations, and does not discriminate on the basis of race, color, creed, ancestry, religion, age, disability, sex, sexual orientation, national origin, citizenship, veteran status, or membership in any other legally protected class.READ CAREFULLYI certify the information on this application is accurate and complete, and I understand that all required credentials must be submitted before an admission decision can be made. I authorize Barnes-Jewish Hospital, Express-Scripts, Inc., and University of Health Sciences and Pharmacy in St. Louis, (BESt) Pharmacy Summer Institute, to maintain all my records under my signed name, and I understand these records and credentials in support of my application are the property of the BESt Pharmacy Summer Institute and may not be returned or reproduced.Apply now by clicking the Submit button below.
