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WashU Rural Scholars Academy Student Interest Form
Complete this form to be notified when the Heartland Rural Scholars Academy (open to high school students in rural and small-town communities in MO and southern IL who will enter college in Fall 2025) application is available.
Required Fields*
Personal Information
First Name*
Middle Name
Last Name*
Suffix
Jr.
Sr.
I
II
III
IV
V
VI
VII
VIII
IX
X
Student's Preferred First Name
Entry Term*
Fall 2025
Fall 2026
Fall 2027
Fall 2028
Fall 2029
Fall 2030
Contact Information
Student Email Address*
Confirm Student Email Address*
Address*
Address*
Country
Street
City
Region
Postal Code
Home Phone Number
Cell Phone Number
Submit
