One Giant Leap Into Your Future: Applications of Space Robotics

ONLINE APPLICATION

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One Giant Leap Into Your Future: Applications of Space Robotics
Summer 2020 Program Application

General Information

Name*

First

Last

Adress line 1*

Adress line 2

State*

Zip code*

Phone Number*

Email address*

School*

Grade level for 2020-2021 school year*

Date of Birth

Month*

Day*

Year*

Do you have any food restrictions?

Please tell us about your restrictions

Emergency Contact

Name*

Phone Number*

In what school extra-curricular activities do you/have you participate(d)?

List three goals that you will achieve as a result of attending this summer camp.

Do you have any skills with computer programming, design, collaboration with your peers, etc.? (The answer to this question will not affect your selection for participation in camp.)

Please list those skills.

In 500 words or less, please explain why you should be selected to attend the One Giant Leap into Your Future: Applications of Space Robotics summer camp and describe how attending this camp will assist you with your future goals. If you would like to type your answer in a separate document, upload it below.

Already have a document file ready to go? Upload it here!

Teacher Reference

Name*

Email address*

Teacher Reference

Name*

Email address*

Administrator Reference

Name*

Email address*

One Giant Leap Into Your Future: Applications of Space Robotics
Summer 2020 Program Application

STUDENT-GUARDIAN CONTRACT

Being selected as a participant in the Application of Space Robotics summer program is a special opportunity for students to be introduced to fundamental concepts in robotics and aerospace engineering. This valuable training can help students prepare for important careers in STEM related fields. The seats in this program are limited and are being funded by a donor. If the seats are accepted, the participants and their families need to assure attendance within reasonable expectation.

Guardian

Name

First

Last

I agree that if my child is selected to participate in this summer program that I will ensure that he/she attends for the entire period. All costs for the summer program will be borne by a donor.

I agree

Guardian Signature*

Clear

Guardian Signature*

Student

Name

First

Last

I acknowledge that if selected I am making a firm commitment to participate in this summer academy program. I understand that attendance is important because the cost of the summer program is being borne by a donor.

I acknowledge

Student Signature*

Clear

Student Signature*

This field should be left blank

One Giant Leap Into Your Future: Applications of Space Robotics

One Giant Leap Into Your Future: Applications of Space Robotics Summer 2020 Program Application

General Information

Date of Birth

Emergency Contact

Teacher Reference

Teacher Reference

Administrator Reference

One Giant Leap Into Your Future: Applications of Space Robotics Summer 2020 Program Application

STUDENT-GUARDIAN CONTRACT

Guardian

Student

One Giant Leap Into Your Future: Applications of Space Robotics
Summer 2020 Program Application

One Giant Leap Into Your Future: Applications of Space Robotics
Summer 2020 Program Application