Application Form – One Giant Leap Into Your Future (IMEET) Summercamp

One Giant Leap Into Your Future: Applications of Space Robotics Summer 2025 Program Application

Student Information

Name*

First

Last

Adress line 1*

Adress line 2

City*

State*

Zip code*

Email address*

School*

Grade level FOR 2025-2026 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*

Do you have any skills with programming, designing, collaborating, etc. specifically related to computing and/or robotics?*

Please list those skills.*

What other extra-curricular activities do you/have you participate(d) in?*

List three goals that you wish to achieve as a result of attending the summer robotics academy.*

In 500 words or less, please explain why you should be selected to attend the One Giant Leap into Your Future summer robotics academy and describe how attending the academy will assist you with your academic and/or career goals.*

One Giant Leap Into Your Future: Applications of Space Robotics Summer 2025 Program Application

STUDENT-GUARDIAN CONTRACT

Being selected as a participant in the One Giant Leap Into Your Future summer robotics academy 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 your student is selected and accepts this opportunity, the student and their guardian(s) need to ensure attendance within reasonable expectation.

Guardian

Name

First

Last

Guardian relationship to applicant*

Phone Number*

Email address*

By typing my name below, 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.

Signature*

Student

Name*

First

Last

By typing my name below, 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.

Signature*

This field should be left blank

In this application you will need:

One Giant Leap Into Your Future: Applications of Space Robotics Summer 2025 Program Application

Student Information

Date of Birth

Emergency Contact

One Giant Leap Into Your Future: Applications of Space Robotics Summer 2025 Program Application

STUDENT-GUARDIAN CONTRACT

Guardian

Student