20th Annual Summer Workshop

June 5-7, 2019

About the Workshop The GROW Workshop is a three-day exploration event designed to foster girls' continu-

ing interest in pursuing majors or careers in science, technology, engineering, math

(STEM) or pre-health fields. The event will be held on the Kansas State University campus

in Manhattan.

Who Should Attend? The GROW Workshop is for students who will complete 5th, 6th, or 7th grade in May

2019. Students can come on their own or with friends from their school or community.

What Will We Do? Participants will be assigned to groups of 8-10 students. Each group will participate in

hands-on activities developed and facilitated by K-State faculty and graduate students

from a variety of STEM fields. Interaction with professors will allow the participants to gain

insight into careers in these fields.

Housing and Dining Program participants will be housed in residence hall rooms (double occupancy) at

Kansas State University. On the registration form, participants can indicate the name of

another student with whom they would like to share a room. We will make every effort

to fulfill the request.

All meals from lunch on Wednesday to lunch on Friday are included in the registration

fee. Snacks are provided during the morning and afternoon sessions, as well as in the

residence halls in the evening.

Transportation and Parking Participants are responsible for their own transportation to and from Kansas State Uni-

versity, Manhattan campus. Residence halls are within walking distance of on-campus

activities. Transportation will be provided to any activities off campus.

Parking permits are required for all vehicles parked on the K-State campus. They are not

required for drop-off / pick-up at the residence halls, however they will be needed if the

driver plans on attending the welcoming ceremony on Wednesday morning or the clos-

ing ceremony on Friday afternoon. Parents are welcome to attend both ceremonies.

When & Where? The GROW Workshop will begin at 10 a.m. on Wednesday, June 5, 2019. Attendees

should plan to arrive on the K-State Manhattan campus by 9 a.m. June 5 to allow time

for registration and to check into residence halls. The workshop will conclude by 5 p.m.

on Friday, June 7, 2019.

Cancelation Policy If you must cancel your registration, please do so as soon as possible. A full refund, mi-

nus a $25 processing fee, will be made if cancellation is received by K-State by May 24,

2019.

Additional Information Please contact the KAWSE office at (785)-532-6088. You can also send us an email at

kawse@ksu.edu or visit our website at www.ksu.edu/grow.

GROW Summer Workshop - June 5-7, 2019 Registration Form

Send form & payment to:

GROW Program Kansas State University 1011 Seaton Hall Manhattan, KS 66506-2905

Please make checks payable to Kansas State University

Kansas State University is committed to making program activities accessible to all participants. If you have special re-

quirements due to disabilities or dietary restrictions, indicate your needs on the application form or contact the Division

of Continuing Education Registrar at (785) 532-5566 at least three weeks before the start of the program. After this date,

we will make every effort to provide assistance, but cannot guarantee that requested services will be available. Notice of

Nondiscrimination: Kansas State University is committed to nondiscrimination on the basis of race, color, ethnic or na-

tional origin, sex, sexual orientation, gender identity, religion, age, ancestry, disability, military status, veteran status, or

other non-merit reasons, in admissions, educational programs or activities and employment, including employment of

disabled veterans and veterans of the Vietnam Era, as required by applicable laws and regulations. Responsibility for

coordination of compliance efforts and receipt of inquiries concerning Title VI of the Civil Rights Act of 1964, Title IX of the

Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and

the Americans With Disabilities Act of 1990, has been delegated to the Director of Affirmative Action, Kansas State Uni-

versity, 214 Anderson Hall, Manhattan, KS 66506-0124, (Phone) 785-532-6220; (TTY) 785-532-4807.

Student (full name) Parent/guardian (full name)

Home Address Parent/guardian Email —All confirmation information will

be sent to this address. You will also be added to our GROW

listserv. City State Zip Code

Student Ethnicity (please circle only one)

White American Indian

Black Mexican American

Hispanic Hawaiian Pacific Islander

Asian Multiracial

Prefer not to answer

Parent/Guardian Emergency Contact Phone Number

Student Cell Phone Number

Grade Completed as of May 2019 (please circle one)

5th 6th 7th

Are you applying for a scholarship? YES NO

*A separate scholarship request form is required in addi-

tion to this registration form*

Anticipated High School Graduation Year

T-Shirt Size (XS—XXXL adult sizes)

Registration—Please select one

_____ $30 - Scholarship Application* - due by April 26th

_____ $290 - Earlybird Registration - due by April 26th

_____ $315 - Regular Registration - due by May 17th

__________ TOTAL PAYMENT ENCLOSED

Parking Permits - Please visit : https://www.k-state.edu/

parking/visitor.html

Student Date of Birth

Name of Requested Roommate, if applicable:

For Participants with Disabilities or Dietary Requirements -

Please indicate any special requirements and/or assistance

needed:

Please tell us how you heard about this event:

GROW Summer Workshop—June 5-7, 2019 Scholarship Request Form

Need-based scholarships are available. A parent or legal guardian should complete and submit this applica-tion if their student has financial need and wants to be considered for a scholarship. This information will not be shared with anyone outside the K-State Office for the Advancement of Women in Science and Engineer-ing. Full and partial scholarships available, scholarships are not guaranteed.

*a separate registration form and $30 payment is due in addition to this form by April 26th, 2019*

Name of Student

Name of Parent or Guardian

Select one option from the list below that best describes your financial need.

_____ My student qualifies for the free and reduced-price lunch program. The GROW program un-

derstands that not all people who qualify participate in the program. GROW is only interested in whether the

student qualifies for the program.

_____ While my student does not qualify for the free and reduced-price lunch program, she/he is just

over the threshold to qualify for the program.

_____ While my student does not qualify for the free and reduced-price lunch program, she/he is

experiencing severe financial strain. In the past, people have chosen this option when their house recently

burned down, when they were taking care of multiple ill family members, etc…

Signature of Parent/Guardian Date

FOR OFFICE USE ONLY Date Application Received