• Instructions
• Application Form
• Final Interview

 

IMPORTANT NOTE: The 2013 BESt application process has yet to begin. The form below WILL NOT accept applicant data. This form is provided for reference purposes only. If you wish to apply to BESt in the future, please note the BESt application form information requirements shown below and return to this site following the December 31, 2012 open enrollment date.

Applicant Information

* = required information

First Name *	MI
Last Name *
Date of Birth *	--Month-- January February March April May June July August September October November December -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 --Yr-- 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Gender	--Gender-- Male Female
Ethnicity	--Ethnicity-- Black/African American Asian American Indian Hispanic/Latino Pacific Islander Other
Ethnicity Other
High School *
Current Grade Level *	-- H.S. Freshman H.S. Sophomore H.S. Junior H.S. Senior Please note: To complete the BESt online application, Juniors will be required to submit their COMPASS test scores. Please see application instructions for additional COMPASS information.
T-Shirt Size	-- Adult Female S Adult Female M Adult Female L Adult Female XL Adult Female 2XL Adult Male S Adult Male M Adult Male L Adult Male XL Adult Male 2XL

Allergies (Includes Food or Physical Limitations)

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Current Contact Information

Street Adress *
City *
State *	-- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY    Zip *
Phone *	format: 555-555-5555
Email *
Confirm Email *

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Applicant Background

Statement of Interest *
Why are you interested in the program * – 500 word limit

Extracurricular / Volunteer Activities
List up to five

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Demographic Background

Number of Parents/Guardians in the Home *	-- 1 2 3 or more
Total Number of Children in the Home *	-- 1 2 3 4 5 6 7 8 9 10 or more
Total Household Income *	-- Less than $25,000 $25,000-$34,999 $35,000-$49,999 $50,000-$74,999 $75,000-$99,999 $100,000+

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Parent / Guardian Information

First Name *
Last Name *
Street Adress *
City *
State *	-- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY    Zip *
Phone *	format: 555-555-5555
Email

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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.

What BESt program are you applying for? * BESt I BESt II BESt III

Have you ever applied to BESt before? *   Yes   No

If so, when? --Month-- January February March April May June July August September October November December --Yr-- 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Have you ever participated in BESt before? *   Yes   No

If so, what program? -- BESt I BESt II BESt III and when? --Yr-- 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

How would you rank your interest in pharmacy on a scale of 1-5? * -- 1 least interest 2 3 4 5 most interest
(1 is least and 5 is most)

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Report of Coursework and Test Scores

For students completed coursework, please list all completed coursework information and mark units and grades for each completed coursework session.
For students in-progress coursework, please provide information on current coursework and units.

Subjects	Coursework Enter the names of your classes	Completed?	Units1	Grade
English Literature, Speech, Debate, Journalism, etc.			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
	+Add another English course
Math Algebra, Geometry, Precalculus, Trigonometry, etc.			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
	+Add another Math course
Science Earth Science, Biology, Chemistry, Physics, etc.			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
	+Add another Science course
Social Studies History, Government, etc.			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
	+Add another Social Studies course
Foreign Language			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
	+Add another Foreign Language course
Fine Arts Art, Music, Drama, Dance, etc.			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
			-- 0.5 1.0	-- A+ A A- B+ B B- C C- D+ D D- F
	+Add another Fine Arts course

Unit Scale¹
1 Unit = one year in class
.5 Units = 1/2 year in class

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ACT Test Scores

ACT composite score	-- 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
ACT math score	-- 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36
ACT science score	-- 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36

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Additional Application Requirements

All applicants are required to mail the following items to BESt.

1. A completed parent/guardian and student release of information form. (Click here to download form.)
2. A current, official transcript from the student’s current school.
3. At least two letters of recommendation (signed originals).

Please mail applicants official transcript and letters of recommendation to:

Program Director
BESt Pharmacy Summer Institute
P.O. Box 32810
St. Louis, MO 63132

I agree to mail the required document to BESt by March 16, 2013*

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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.

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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.

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