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Science Camps at Delaware Tech · science and commitment to the program. Science Camps at Delaware...
Transcript of Science Camps at Delaware Tech · science and commitment to the program. Science Camps at Delaware...
For information and/orto request an application,contact:
Dover 302.857.1400Georgetown 302.259.6330Stanton/Wilmington 302.453.3041
Applications will be reviewed and studentswill be selected based upon their interest inscience and commitment to the program.
Science Camps at Delaware TechJoin us for one of the science-related camps below, offered throughout the State of Delaware. All camps run fromMonday-Friday, 9 am – 4 pm.
Crust to CoreFor 6th Grade Students Explore the planet from a geological point of view! Learn about geology through games, experiments and exploration. You’ll learn about rocks, minerals, fossils, stalactites, quick sand, crystals and more. This FREE camp will teach you what a geologist does and how geology plays a part in today’s world.
Stanton Campus - July 6 - 10Dover Campus - July 13 - 17Georgetown Campus - July 20 - 24
Track your Way through WatershedsFor 7th Grade Students Join us for a weeklong adventure in the great outdoors. Learn hands-on techniques used by environmental scientists today. Peer into the world of living plants and animals and explore aquatic and natural environments to determine the health of watersheds. The camp also features a GPS discovery trail, where satellites will help guide you along your way. Later in the week, venture to nearby parks to explore nature at its fin-est. Don’t miss out on this FREE unique opportunity filled with games and hands-on activities.
Stanton Campus - July 13 - 17Dover Campus - July 20 - 24Georgetown Campus - July 27 - 31
Energize the FutureFor 8th Grade StudentsExplore methods and solutions for reducing our carbon footprint, using hands-on activities in state-of-the-art college laboratories. You will use engineering and design concepts to construct a solar oven to make nachos and s’mores, build and race a solar car, build and test a wine turbine, and use LEGO Mindstorms NXT to build and program a solar tracker and wind station. This FREE camp will also include a local field trip tied to sustainable energy.
Stanton Campus - July 20 - 24Dover Campus - July 27 - 31Georgetown Campus - August 3 - 7
This program is made possible by the National Science Founda-tion EPSCoR Grant No. IIA-1301765 and the State of Delaware.
Revised 10/30/14
FREECAMPS
2015 EPSCoR STEM Summer Camp Application
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Please complete the following application for one of the three FREE ESPCoR Sponsored Science camps offered throughout the State of Delaware. Please also state your desired location. The camps are offered at three Delaware Technical Community College campuses and run Monday through Friday from 9:00am to 4:00pm. Before and after camp care is also available for a fee. Applications will not be reviewed unless fully completed. Acceptance is limited to 15 students and will be based on the evaluation of this application. The deadline to submit all applications is Monday, May 4, 2015. Campers will be notified of their acceptance into their desired camp by Monday, May 18, 2015.
Select Camp Desired Location
Crust to Core 6th Grade Camp Stanton Campus: July 6 - 10 Terry Campus: July 13 - 17 Owens Campus: July 20 - 24
Track Your Way through Watersheds 7th Grade Camp Stanton Campus: July 13 - 17 Terry Campus: July 20 - 24 Owens Campus: July 27 - July 31
Energize the Future 8th Grade Camp Stanton Campus: July 20 - 24 Terry Campus: July 27 - July 31 Owens Campus: August 3 - 7
*This program is made possible by the National Science Foundation EPSCoR Grant No. IIA-1301765 and the State of Delaware. Revised 1/6/2015. Please mail your completed application to Melissa Myers at the following address:
Delaware Technical Community College
400 Stanton Christiana Road Newark, DE 19713
Phone: (302) 453-3041 Fax: (302) 453-3076
2015 EPSCoR STEM Summer Camp Application
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Counselor/Teacher Recommendation Form
The student noted below has applied to the 2015 EPSCoR STEM Summer Camp at Delaware Technical Community College. Your recommendation is required for the student to participate in this free camp. Please assess the student in the areas of overall academic potential and motivation. This program is for students with high academic interest/potential in Math and/or Science. Please return this form to Melissa Myers by mail to Delaware Technical Community College 400 Stanton Christiana Road, Newark, DE 19713 or by email to [email protected].
Name of Student: ___________________________________________________________________________ School: __________________________________
Present Grade Level: ____________________________
Recommendation Form Prepared by: ___________________________________________________________ Teacher or Counselor: ______________________
Teaching Subject (if applicable): ___________________
Phone Number: ___________________________
Email: ________________________________________
Cumulative GPA: ______
Overall Academic Potential: ____ Excellent ____ Good ____ Needs to improve
Current Grades: ______ Math ______ Science ______ DCAS What motivates this student?
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What is this student’s behavior and attitude toward school?
__________________________________________________________________________________________
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Please provide any additional comments.
__________________________________________________________________________________________
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Please rate your overall assessment of this student by checking the appropriate box:
HIGHLY RECOMMENDED
RECOMMENDED
RECOMMENDED WITH RESERVATION
NOT RECOMMENDED I certify that the above information is factual and accurate according to the student’s records. ________________________________________________________ ____________________________
Signature of Counselor/Teacher Date
2015 EPSCoR STEM Summer Camp Application
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Student Information
Name: _____________________________________________________________________________
Last First MI Address: ___________________________________________________________________________
Number Street
___________________________________________________________________________________ City State Zip Code
Student Home Phone: (___)__________________
Student Cell Phone: (___) ___________________
Last 4 of SSN: _______________
Age: ______________________
DOB: _____________________
Male Female
Student Email Address: ___________________________________
Student School Information
Name of School: __ Home Schooled: Yes No
City: ________________________ State: __________
Present Grade Level (circle one): 5th 6th 7th
Student U.S. Citizenship Status
Please check one of the following:
U.S. Citizen Permanent Resident Visa Other (Please explain): __________________________ Student Race & Ethnicity Information
Do you consider yourself to be Hispanic/Latino?
Yes
No
In addition, please select one or more of the racial categories to describe yourself:
American Indian/Alaskan Native
Asian
Black or African American
White
Native Hawaiian or Other Pacific Islander
Have you ever been on probation or convicted of a juvenile crime? Yes No
If yes, please explain:
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2015 EPSCoR STEM Summer Camp Application
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Parent or Legal Guardian Information
Name of Parent or Legal Guardian:
_________________________________________
Address: _________________________________
_________________________________________
Home Phone:______________________________
Cell Phone : _______________________________
Work Phone: ______________________________
Parent email: ______________________________
Did you graduate from college with a 4-year
degree? Yes No
Name of Parent or Legal Guardian:
__________________________________________
Address: __________________________________
__________________________________________
Home Phone:_______________________________
Cell Phone : ________________________________
Work Phone: _______________________________
Parent email: _______________________________
Did you graduate from college with a 4-year
degree? Yes No
Income Status
Total number of people in household supported by the family income: _______ Please check the box that best indicates the family income for the past year:
Below $25,000/year
$50,000 - $75,000/year
Greater than $100,000/year
$25,000 - $50,000/year
$75,000 - $100,000/year
What would you like your child to gain from attending this camp? ______________________________________________________________________________
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What other camps/programs/activities will your child be participating in this summer? ______________________________________________________________________________
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During this camp, we will be spending time outdoors. Does your child have any allergies to specific insects, food, or other substances that would preclude these activities? ______________________________________________________________________________
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________________________________________________ ________________________ Signature of Parent/Guardian Date
2015 EPSCoR STEM Summer Camp Application
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Student Interest Survey
Please answer the following questions on your own in your handwriting. You may use additional paper if necessary. If you do so, please put your name on each sheet. 1. What is your favorite class in school? Why?
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2. What is your least favorite class in school? Why?
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3. What do you want to be when you grow up? Why? ___________________________________________________________________________
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________________________________________________ ________________________ Signature of Student Date
2015 EPSCoR STEM Summer Camp Application
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2015 EPSCoR STEM Summer Camp CONSENT AND RELEASE INFORMATION CERTIFICATION
By signing this application, I certify that I have read this application and the information given is accurate and factual. I/we give consent for my/our child to participate in the 2015 EPSCoR STEM Summer Camp if he or she is selected. I/we further understand that selection is the responsibility of the Admissions Committee and the decisions of this Committee are final. Additionally, I/we give consent for my/our child to participate in all program activities. I/we also consent for my child to receive routine and/or emergency medical services (if necessary). Moreover, I/we give permission for my/our child to be photographed and/or interviewed by the press for program promotion only. I/we authorize the 2015 EPSCoR STEM Summer Camp to obtain my/our child’s grades and State Test scores from the school counselor. Communications with counselors and teachers regarding academic achievement will be submitted to the 2015 EPSCoR STEM Summer Camp upon request. Falsifying this information will result in your child being denied entrance into the program and/or expulsion from the program. I, the undersigned parent or guardian of, (Print Name) _________________________________ hereby grant permission for my child to participate in all of the activities, including those occurring off property owned or controlled by the College, scheduled for the EPSCoR camp. My permission extends to all activities listed on this form or that may occur during the course of the EPSCoR camp. My permission includes the transportation provided by the College unless I have indicated otherwise on this form. In the event that I have chosen to arrange my child’s transportation to and from the camp, I acknowledge that the College, its employees, agents, and trustees, have no liability arising out of and from the transportation of my child to and from these activities. I further understand that all of the terms, conditions, and information contained in the EPSCoR application as submitted by me on behalf of my child, including the assumption of the risks of camp activities, medical authorization, promotional authorization and such related releases of liability shall apply during my child’s participation in the activities occurring off property owned or controlled by the College scheduled for the camp as well as during the College’s transportation of my child in conjunction with these camp activities. I HAVE CAREFULLY READ ALL OF THE INFORMATION ON THIS FORM AND VOLUNTARILY AGREE TO ALL TERMS AND CONDITIONS. I AM THE LEGAL GUARDIAN OF THE CAMPER AND UNDERSTAND THAT THE INFORMATION, TERMS, AND CONDITIONS CONTAINED ON THIS FORM SHALL SERVE AS A RELEASE AND ASSUMPTION OF LIABILITY FOR MY HEIRS, EXECUTORS, AND ADMINISTRATORS. By signing this application, I certify that I have read and understand this application and that the information given is accurate and factual.
______________________________________ ___________________________________________ Parent/Legal Guardian Name (Print) Parent/Legal Guardian Name (Print) _ _______ Signature Date Signature Date