MSM STEAM Academy (9-12) Application
Form Login Account (optional)
New Users / Returning Users CLICK HERE to setup or return to your account for the "Morehouse School of Medicine Pipeline Program" application.  Creating an account enables you to 1) return to this application and your submitted results; 2) partially complete this application and return later to complete. The account you establish is only for this form.

Please complete one application per applicant. Carefully review all instructions to complete the application, paying particular attention to application deadlines, program requirements and requests for supporting documents (e.g. transcripts, letters of reference) where applicable.

  • Completed Application
  • Report Card
  • Completed Medical Information Consent Form
  • Recommendation Letters: Request two (2) confidential recommendations on official school letterhead from teachers and/ or a counselor, including at least one from a science teacher. Recommendation forms can be retrieved from the MSM STEAM Academy 9-12 website and must be received directly by the recommender or your high school office via mail or email by the April 15, 2021, deadline.

Inquiries regarding program information and the application process will be accepted beginning March 1. The application for the MSM STEAM Academy (9-12) program will be available for completion March 1- April 15 at 11:30 pm. All inquries should be submitted to

Please check all sessions you are interested in attending.  The 3-week sessions are identical and may be cancelled if a minimum number of participants is not met. 


NOTE: Applications to programs that require supplemental materials will not be considered final until all materials have been received.

NOTE: Any information you submit on this application will not be sold or passed along to a third party (see Morehouse School of Medicine's Privacy Statement).

NOTE: All questions marked with an * are required to consider the application complete.

NOTE: All data entered into the fields are automatically saved. 

Student Status *
Which high school (Grades 9-12) Program are you interested in? *

Relationship to applicant:


Test Scores (if applicable).  If you have not taken the SAT or ACT, please skip this item.

EMERGENCY CONTACT (other than parent/guardian)
Relationship to applicant:

0/800 characters

Have you presented an oral or poster presentation? *
0/3000 words
Or you can upload your essay below.

0/3000 words
Or you can upload your essay below.

Student Medical Information Consent Form

List known allergies
List required medications
Are we allowed to dispense sample medications. Please indicate which medications are approved.
Does the student wear contact lenses?
Does the student wear eye glasses?
If the student needs immediate medical attention, do we have permission to take the student to the nearest medical facility for treatment? *
PHOTO, VIDEO, AND ARTWORK RELEASE I give the MSM STEAM Academy (9-12) Program permission to use photographs taken of my child and/or work my child has done as a part of the activities of the program. I hereby release the MSM STEAM Academy at MSM and anyone acting through the program or the school from any and all claims which I may have by reason of the publication of these photographs. I grant the MSM STEAM Academy all rights, titles, and interest in any of the materials described above. *

PARENTAL CONSENT and STUDENT ASSENT TO COMPLETE SURVEYS So that we can continue to improve how we teach and prepare our students, we would like to have students complete several surveys. In particular, your child will take surveys that assess the following: (1) their level of self-esteem, (2) their attitude toward science, and (3) their interest in and knowledge about science, health careers, and program impact. Each survey will be taken twice, once at the beginning of the project and once when the project is over. The information that we learn from these surveys will help us design better programs for students who show an interest in health and science. Your child's completion of any survey is totally voluntary. Your child's survey results will be held in confidence and utilized by an evaluation team for purposes of tracking the progress of participating children. Your child's name and any other identifying information will be removed from any broader publication of data from the surveys.

Student Assent

Participants of the MSM STEAM Academy will be working in a biomedical laboratory. They will be conducting laboratory experiments that may involve the use of live cultures, laboratory animals and chemicals. Each student will be involved in an extensive laboratory safety-training workshop before entering a laboratory setting. I hereby release the MSM STEAM Academy, and anyone acting on behalf of the program or the school, from any and all claims which may result in negligence. (the student and parent signatures are required)

By signing this application, I certify to the statements and consents contained. The statements herein are true, complete and accurate to the best of my knowledge. *

Thank you for completing the MSM STEAM Academy application. 
Morehouse School of Medicine
720 Westview Drive SW
Atlanta, GA 30310