Spice Camp Program Application, University of Maryland, Application

Spice Camp Program Application
2009

Application Part I: Biographical Information

Last Name:	First Name:	MI:
Home Address:
City:	State:	Zip:
Phone:	Birthdate:
Email:

Current Grade Level:

Most Recent Math Class taken:
Algebra 1 Trigonometry Algebra 2 Geometry Other

Most Recent Science Class taken:
Chemistry Earth Science Biology Life Science Other

GPA on a 4.0 scale:
If you are unsure of your GPA, you can either ask your guidance counselor to give you an approximation or calculate it yourself with the help of a parent/guardian. Use the scale A = 4, B = 3, C = 2, D = 1, E = 0. i.e. If you have 2 A's and 4 B's, your GPA would be (4+4+3+3+3+3) divided by 6 = 3.33

Race/Ethnicity: (for statistical purposes only) Please check all that apply

	Asian American/Pacific Islander/Asian		Latino/a
	African American/Black		Multiracial/Multiethnic
	Caucasian/White		Other (Please specify)
	American Indian/Alaskan Native

How did you find out about this program?

	School Counselor		Science/Math Teacher
	Internet		Summer Program Fair
	Past Participant		Other (please specify):

School Information
Name of School:

School Address:		School City:
School State:		School Zip:
School Phone:		School Fax:

Parent/Guardian Information
Parent/Guardian Name:		Home Phone :
Daytime Phone:
Hours that I’m reachable at the Daytime Phone:
* Email Address:		* Please provide an e-mail address that you check frequently. We will be sending you regular updates and announcements regarding your application.

Application Part II: Essay Response

In approximately 250 words or less (no more than 1700 characters), please respond to the following question: What can be done to encourage young women and minorities to pursue engineering?

( You may enter up to 1700 characters. )

characters left

By checking this box, I confirm that the information included is accurate to the best of my
knowledge and that my parent/legal guardian is aware that I am applying for this program.

Note: Please be assured that your information is secure. When you click
submit, you may get a security warning popup. This is because you are being
redirected to the "Thank You" page that is not on the secure server. Just click
"OK" or "continue anyway" to continue.