Application Form | BESt Pharmacy Summer Institute

APPLICANT INFORMATION

Student ID Number*

Please enter the applicant's unique ID number from their current school.

First Name*

Middle Initial

Last Name*

Date of Birth*

Ethnicity*

If other, please list ethnicity.*

Gender*

High School*

If other, please list high school.*

Current Grade Level*

T-Shirt Size

To be sure we have proper inventory in your size.

Allergies (include food allergies or physical limitations)

APPLICANT CONTACT INFORMATION

Address*

Street Address Address Line 2 City 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 BACKGROUND

Number of Parents/Guardians in the Home*

Total Number of Children in the Home*

Total Household Income*

PARENT / GUARDIAN INFORMATION

Parent / Guardian's First Name*

Parent / Guardian's Last Name*

Parent / Guardian's Address*

Street Address Address Line 2 City 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 INFORMATION

Please 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?*

Have you ever applied to BESt before?*

Yes
No

If yes, when? (indicate most recent)

Have you ever participated in BESt before?*

Yes
No

If yes, what program? (indicate most recent)

and when?

How would you rank your interest in pharmacy on a scale of 1-5?*

(1 is least and 5 is most)

How did you find out about the BESt Institute?*

If other, explain

REQUIRED DOCUMENTS AND TEST SCORES

Applicants 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.

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. (Click here to download form.)

BESt III and BESt IV Applicants – A copy of your most recent standardized test scores (ACT or SAT).

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

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

3. Accuplacer Test Results

Please upload student's Accuplacer test results. (BESt III, and BESt IV applicants only.) 10MB file upload limit.

Drop files here or

4. ACT Release of Information Form

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

5. ACT or SAT Test Scores

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

IMPORTANT NOTE - RECOMMENDATION LETTER SUBMISSION

At 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 March 13, 2020 materials submission deadline.

Recommendation letters that are not submit online can be submitted via email to Misha-Renee Hart by March 13, 2020.

Recommendation Letter Request*

Yes - I agree to contact recommenders and request that letters of recommendation be submitted prior to the March 13, 2020 materials submission deadline.

EQUAL EMPLOYMENT OPPORTUNITY

The 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 CAREFULLY

I 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 the Barnes-Jewish Hospital, Express-Scripts, Inc., on the campus of St. Louis College of Pharmacy (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.