Maker Camp Full-Scholarship Referral Form

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George Fox Engineering is putting on summer S.T.E.M. camps for high school students and we would like to help students get to camp who wouldn't otherwise have the opportunity. If you know a high school student who would would love to come to Maker Camp on a full scholarship this summer, please complete this form. We want to make camp accessible to students who would not otherwise have chance to participate in this dynamic summer experience. It is our desire to create a pathway into S.T.E.M. for every student.

Can you help us identify a student who would benefit from this opportunity?

Your Name *

Your Email *

Your Contact Number *

Your Company/Organization *

Name of the high school student you'd like to recommend: *

Student's School *

Student's grade as of September 2022 *

Freshman

Sophomore

Junior

Senior

I recommend this student for: *

Residency Camp: July 11 - 15

Residency Camp: July 25 - 29

Day Camp: August 8 - 12

Any of the above

What is your connection with this student? Give us a few data points on why you have recommended this student for the full-scholarship and how you think they will benefit from Maker Camp: *

Please rate the student's level of readiness to be a positive contributor in group settings: *

Would require significant staff guidance

Works well with others and is comfortable in group settings; would require minimal staff guidance

Please rate the student's ability to engage and focus on challenging projects: *

Would require significant staff oversight

Motivated and engaged; would require minimal staff oversight

Does this student have access to transportation to and from camp? (Maker Camp is located on the George Fox University campus, 414 N Meridian St., Newberg, OR) Please check the applicable box: *

Yes, this student has access to transportation for Residency Camps: arrival on Monday morning and pick up on Friday afternoon

Yes, this student has access to transportation for Day Camp: transportation each morning and afternoon, Monday - Friday

This student does not have access to transportation

Is there any other information that would be helpful for us to know about this student?

Contact Email for Student

Contact Phone for Student (please indicate if this is a parent or student number) *

Thank you for making this student recommendation. We will reach out to you prior to contacting the student and will keep you in the loop on our communications with the student and their family. Please let me know if you have any questions:

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