Application Form
Women’s Engineering Explorations
A Summer Program at Temple University
Please type or print all information. Additional sheets may be attached if necessary.
Applicant Information
Name (Last, First, Middle): _________________________________________________________________
Address: __________________________________ Date of Birth: ______/______/______
_________________________________________ E-mail: ____________________________
City, State, & Zip: __________________________
Home Phone: ______________________________
Parent/Guardian Information
Name: ________________________________________________________________________________
Address: _________________________________ Home Phone:________________________ ________________________________________
City, State, & Zip: __________________________ E-mail: _____________________________
Name: ________________________________________________________________________________
Address: _________________________________ Home Phone:________________________ ________________________________________
City, State, & Zip: __________________________ E-mail: _____________________________
Academic Information
Expected date of graduation: ( 2018 ( 2019 ( 2020 ( 2021 GPA: __________________________
Name of high school: ____________________________________________________________
Activities
Please list any activities that you have participated in.
Activity Dates of participation
________________________________________________________ _________________________
________________________________________________________ _________________________
________________________________________________________ _________________________
________________________________________________________ _________________________
________________________________________________________ _________________________
________________________________________________________ _________________________
What area of engineering interests you? ________________________________________________________
Page 1 of 2
WE2 application continued
Application Materials
Essay: On a separate page, please attach an essay explaining why you want to participate in the WE2 summer program at Temple University’s College of Engineering and what you hope to gain from the experience. Your essay should be at least 150 words. Please include your name at the top of the attached page.
Letter of Reference: Please provide a letter of reference from a current teacher, guidance counselor, or other non-relative adult. This letter should be in a sealed envelope with the recommender’s signature across the flap of the envelope.
← High School Transcript (Please include an official high school transcript with your application form.)
← Citizenship information (For NASA trip)
← Forms (after acceptance to program):
• Parental/Guardian Consent and Release
• Acknowledgement of Confidential Information Policy
• Image Consent and Release
• Consent for Medical Treatment
Application Deadlines and Decision
The application deadline is June 1, 2018. Applications will be considered as they are received, and applicants will be notified within 2 weeks. Decisions will be based on the applicant’s essay, letter of recommendation, and high school transcript. All interested students are encouraged to apply.
Program Fees
The cost of the program is $500 per participant. Once accepted, a non-refundable fee of $50.00 is required as a deposit within 2 weeks of notification of acceptance. The remainder of the fee will be due no later than June 30, 2018. No financial assistance is available for this program.
If you have any question regarding the WE2 program, please contact Dr. Golriz Kermani at wengr@temple.edu
or contact the department at 215-204-7808.
How did you hear about the Women’s Engineering Explorations (WE2) program?
( Parent/Guardian
( Teacher/Guidance counselor
( Friend
( Posted flyer ( College of Engineering website
( From college fair
( Internet search
( Received flyer in mail
( Email
( Other
Temple University is committed to a policy of equal opportunity for all in every aspect of its operation. The University has pledged not to discriminate on the basis of race, color, sex, age, religion, national origin, sexual orientation, martial status, or disability. This policy extends to all educational, service, and employment programs of the University. For more information or to review Temple University’s Affirmative Action Plan, contact the Office of Affirmative Action, 109 University Services Building, (215) 204-7303.
-----------------------
Please email the completed application and required application materials to wengr@temple.edu
or mail to: Dr. Golriz Kermani
Department of Mechanical Engineering, 6th Floor
College of Engineering
Temple University
1947 N. 12th Street
Philadelphia, PA 19122
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