Tuskegee BUILDERS Academy
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Tuskegee University 2019 STEM BUILDERS Academy Application Form for Peer Mentors


    Peer Mentor Information

    Enter the name of the student who is applying for admission to the BUILDERS Academy
    Select the school your student will be attending in the 2019-2020 academic year.
    Enter the ID number that identifies your student in his/her school district
    Enter the grade your student will be starting in Fall 2019

    Enter student's cumulative high school GPA

    Students must be eligible to work in the United States in order to receive a stipend.

    Peer mentors must have previously attended the BUILDERS Academy as participants.

    This information will be used for program reporting and assessment purposes, and does not determine eligibility for the program.

    This information will be used for program reporting and assessment purposes, and does not determine eligibility for the program.

    You do not need to write much, 3-4 sentences will suffice.

    Contact Information

    Please, enter the address to which information regarding the program can be mailed.
    Enter phone number at which student can be contacted (include area code)
    Enter an e-mail address that you check frequently. Important Academy information will be sent by e-mail.

    Medical Concerns

    The Tuskegee BUILDERS Academy meets for most of the day and will provide lunch and snacks to peer mentors. Please, let us know whether you have any medical concerns of which we should be aware.
    If you answered "yes" to either of the questions above, the Academy will reach out to the person listed as primary emergency contact to ensure that your needs are met during Academy days.

    Emergency Contacts

    If you are selected as a peer mentor, who should we contact in case of an emergency?
    Please, enter the name of the individual who should be the primary contact in the event of an emergency.
    If the primary contact cannot be reached, who should we contact in case of an emergency?
    If possible, provide us with the information for a second individual who can be contacted in the even of an emergency (if the primary contact cannot be reached)

    By submitting this application, you are declaring that all the information provided in this application is factual and complete. You also agree that, if selected to participate in the Tuskegee BUILDERS Academy, you will take part in all Academy activities as assigned to you by faculty mentors. You also acknowledge that failing to satisfy any of these requirements will lead to loss of the stipend and/or termination of your contract as peer mentor.

    After you submit your application, you should see a message confirming that the application was successfully submitted. If you do not see this confirmation message, your application was not received and you need to submit it again. If you continue to have problems submitting your application, please use our Contact Form or e-mail us at TuskegeeBuildersAcademy@gmail.com.


Submit Application
You can also download the application, fill it, and submit it by email or postal mail by clicking here.
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  • HOME
  • PROGRAM INFORMATION
    • WHAT IS THE BUILDERS PROGRAM?
    • ELIGIBILTY & APPLICATION >
      • INFORMATION FOR STUDENTS
      • INFORMATION FOR TEACHERS
    • ATTENDING THE ACADEMY
  • NEWS & UPCOMING EVENTS
    • Calendar of events
    • Program Newsletter
    • Subscribe to the Newsletter
  • RESEARCH
  • CONTACT US