1. education
2. school

BLAST Biotechnology Laboratory for Arizona Students and Teachers Presents
“Genes, Biotechnology and the Environment 2015”
July 6- July 17 Monday-Friday
9:00-3:30
II. Family Information
Tucson High Magnet School
Return application to Ms. Wilch T233 or mail to
Tucson High Magnet School
400 N. 2nd Ave Tucson AZ 85705
Applications are due May 8, 2015
I. Personal Information
Last Name
PLEASE TYPE YOUR RESPONSES!
First Name
Middle
Initial
Street Address
City
Phone number
State
Zip Code
Cell phone number
Email address
Parent or Guardian Last name Parent or Guardian First Name
Street Address
City
State
Zip Code
Phone number
Cell phone number
Email address
Middle
Initial
III. Education
Name of High School
List all science classes
taken thus far
Teacher
Sophomore,
Junior, Senior in
Fall 2015
(circle one)
Grade Received
Application Essay: Attach a one to two page essay describing why you
are interested in taking this course. This might include future career
plans, a general interest in science, biology or molecular biology or any
other reasons. You might relate your reasons to previous experiences in
classes or research. Also include what you hope to learn and describe
personal strengths that might apply to the experience.
Letter of recommendation: Provide a letter of recommendation from a
science teacher of a course that you took in either 2014-2015 or 20132014. Provide the teacher with the attached form to complete and return
to you in a sealed, signed envelope. Send this along with your other
application materials.
BLAST Teacher Recommendaton
The student who provided you with this form is applying for the Genes,
Biotechnology & the Environment hands-on laboratory experience for high
school students. This course is a 14-day intensive class, taking place in July
2015. The course will be taught at Tucson High Magnet School by Margaret
Wilch, Elizabeth Arnold, Ph.D., David Baltrus, Ph.D and assisted by several
graduate and undergraduate students from the University of Arizona. In this
class, high school students will work in small groups using state-of-the-art
equipment and methods to learn and apply basic molecular biology skills, in
the context of an ecological research questions developed within the class.
Course work will also include a field component.
The selection committee seeks references from individuals who know the
qualifications and qualities of the candidate. Your comments are greatly
appreciated and will be considered carefully prior to selecting participants. If
you have any questions, please feel free to contact Margaret Wilch at
Margaret.wilch@tusd1.org. Please return this form to the applicant in a
sealed envelope and sign your name across the seal. The deadline for the
student to submit completed applications is May 8, 2015
Teacher’s Name
Teacher’s Signature
Name of School
Work Phone
How long have you known the student?
In what capacity have you known the student?
Please write a letter of recommendation in which you comment briefly
on the following information about the student. Place your letter in a
sealed signed envelop and return to the student applicant who will submit the
letter. Thank you- M. Wilch
 Motivation and ability to handle a biotechnology curriculum, including
problem solving ability and critical thinking skills. 
 Ability to cooperate with others, and degree of self-direction. 
 Dependability and accountability, including regard for safety of self and
others. 