Welcome to EXCEL 

Hello and Welcome to EXCEL - Exploring Xciting Careers in Electrical and Computer Engineering. In order to provide safe and enjoyable experience, please tell us  a little bit about yourself, read and agree to safety rules and  release by filling out this form. Questions indicated with a red star must be answered.

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Email *
First and last name of the participant *
First and last name of parent/guardian  *
Emergency contact information: please provide name, mobile phone and e-mail address.  *
Do you have any medical issues you would like us to know? This may include allergies (what kind?), a chronic illness or medical problem, such as diabetes, asthma epilepsy (if so, what type of reaction / medication is needed?), other concerns such as compromised hearing or vision. Please tell us what - if anything - you would like us to do in case of such a medical distress or emergency, in addition to informing medical personnel as well as your emergency contact. If none, please indicate N/A. *
What is your current high school?
...and what grade will you be in next Fall?
How much exposure have you had to electrical and/or computer engineering? No wrong answers here, just want to make sure that we set the level of hands-on exercises that will be fun, challenging and doable by all.
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Why are you interested in this event? You can check more than one answer.
Lab environments carry certain risks. In order to minimize that risk, you must agree to certain safety requirements, such as wearing closed-toe shoes, clothing that covers at least your upper legs down to your knees, avoiding tank-tops, jewelry, overly loose clothing, bringing food or drink into the labs, etc. 

Do you agree to follow these and other safety regulations we will provide you during the first day?
(If not, you may not participate in this activity)
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Required
We may take some pictures / videos during the event. If you appear in one of the pictures, may we use / post / publish that picture/video on our social media or webpages to promote this event and show the world how much fun this event was. If you say no, we will not use any picture in which you appear. Note however that we may also take a group photo, which we will publish. If you do not wish your photo being published/posted , please do not participate in the group photo. *
You must also and check both of the following box Click here to view EXCEL Participation Waiver
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Required
By entering my name below, I affirm that I am 18 years of age, or I am the parent or legal guardian of the participant, and competent to sign this document certifying the above answers. 
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A copy of your responses will be emailed to the address you provided.
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