Engineering Physics: Team-Oriented Science and Technology



2021 Summer Academy @ UCOThe Engineering Workshop Academy for Students Entering Grades 8-10Department of Engineering & PhysicsUniversity of Central OklahomaAPPLICATION FORM FORMCHECKBOX Session.1: June 07 - 11. FORMCHECKBOX Session.2: June 14 - 18. (Check one of the boxes above or, if you can attend other sessions, check the boxes but indicate which session you prefer)Review of applications will begin Thursday April 01, 2021.Name: FORMTEXT ???? Address: FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Phone:( FORMTEXT ??? ) FORMTEXT ??? FORMTEXT ????Email: FORMTEXT ?????High School: FORMTEXT ?????Gender: FORMCHECKBOX F FORMCHECKBOX MYour classification for Fall Semester 2021: FORMCHECKBOX 8th Grade FORMCHECKBOX 9th Grade FORMCHECKBOX 10th GradeWhich science and math courses have you already completed? (Check all that apply) FORMCHECKBOX Algebra I FORMCHECKBOX Biology FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX Algebra II FORMCHECKBOX Physical Science FORMCHECKBOX FORMTEXT ????? FORMCHECKBOX Geometry FORMCHECKBOX FORMTEXT ?????Indicate the strength of your computer skills in each of the following (0=none, 1=some, 2=good, 3=strong).[Note: This information is used by the academy directors to build balanced student teams and is not used as selection criteria]Excel: FORMTEXT ?Word:Power Point:Have you participated in a previous Summer Academy? FORMCHECKBOX Y FORMCHECKBOX NIf so, where and when? FORMTEXT ????? FORMTEXT ?????Do you understand that this academy is for commuters only (no housing provided)? FORMCHECKBOX Y FORMCHECKBOX NThe following information is voluntary and is requested only in accordance with the 1968 Civil Rights Act as amended.My ethnicity is: FORMCHECKBOX African American FORMCHECKBOX Asian FORMCHECKBOX Alaskan or Native American FORMCHECKBOX Hispanic FORMCHECKBOX Caucasian FORMCHECKBOX Other: FORMTEXT ?????Applicant’s SignatureDateParent's SignatureDate1.Please ask a science teacher, Pastor or a Youth Leader to complete and return a recommendation form.2.Please attach a one-page essay describing your reasons for wanting to participate in a summer academy in applied science and technology.Return this form, recommendation form, and essay to:Dr. Abdellah Ait moussaDepartment of Engineering & Physics, HOH 221, Box 87University of Central Oklahoma100 N. University DriveEdmond, OK 73034 ................
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