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Summer Engineering Experience Application
Week Long Immersive Engineering Exploration for High School students. June 13-16, 2022 9:00-4pm at The Carnegie Center of Columbia Tusculum and Motz Engineering.
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Full Name
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School Name
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Grade Level for Upcoming School Year
9th Grade
10th
11th
12th
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Age as of July, 2021
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Address
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Email
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Home Phone Number
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Parent/Guardian #1 Name
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Parent/Guardian #1 Email
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Parent/Guardian #1 Phone Number
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Parent/Guardian #1 Address
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Parent/Guardian #2 Name
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Parent/Guardian #2 email
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Parent/Guardian #2 phone number
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Parent/Guardian #2 phone address
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Have either of your parents graduated from a college?
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No
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Do you plan to apply to college after high school
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No
I don't know yet.
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What are your hobbies and interests?
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What sports, clubs, organizations or activities do you participate in regularly?
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Do you have a job? If so, what do you do and how much time do you spend working?
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What are your favorite subject(s) in school?
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In what academic subject(s) do you get the best grades?
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Write a short paragraph telling us about yourself.
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What careers/subjects are you interested/curious about studying in college?
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Why would you like to attend the Summer Engineering Experience?
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Do you have transportation for this experience?
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No
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This hands-on experience is the week of July 26-30 from 8:30am-4:30pm. Can you attend the entire week (each day for the full day?)
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No
Maybe
Is there anything else you would like us to know about you?
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List two adults (one teacher and one other non-relative) references and their phone numbers:
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