Physics Camp for Dallas-ISD Girls at Mountain View College 2012 Application

Application deadline: Friday, April 13

The camp will be held at Mountain View College from June 4-14, Monday through Thursday, from 9 am to 4 pm, and at Texas Instruments on Friday, June 8.

Questions? Email Chris Bruhn at cbruhn@dallasisd.org.

Last or family name: *

First name: *

Address *

City: *

Zip *

Home phone number (include area code, no dashes) *

Birth Date (MM/DD/YY) *

Cell phone number (include area code, no dashes) *

Email address *

Internet Networking: If you are on Facebook, please give your contact info/screen name. *

School *

Dallas ISD ID number: *

Current grade level *

9th

10th

Do you plan to graduate early? *

No

Yes

Current science class(es) *

Current Math Class(es) *

Current science teacher's name *

Current math teacher's name *

Next Year's Science Class(es) *

Next Year's Math Class(es) *

Is there any reason you would not be able to attend all 10 days of camp, such as conflicts with sports, band, summer school, or other activities? *

Essay. Please give a short (one or two paragraph) answer. Describe a situation that

prompted you to work hard. Was it a personal challenge? A problem to be solved?

*

Extra Information

Your answers to these questions will NOT be used when we determine who is eligible for the camp. Only the instructors will see the answers to these questions.

Do you need a DART pass to get to Mountain View College (Monday through Thursday)? *

Do you need a DART pass to get to Texas Instruments in north Dallas on Forest Lane (Friday, June 8)? *

Are you in the free or reduced lunch program? *

Yes

No

As of right now, what field do you plan to pursue in college and/or in your career? Please choose only one. *

What is the highest level of education attained by your mother or female guardian? *

What is the highest level of education attained by your father or male guardian? *