STEEP (Science, Technology & Engineering: Engaging Potential)

Summer Energy Academy 2008 --- Application Form

Please print clearly.

Contact Information:

First Name _________________________ Last Name __________________________

Email address _________________________ Phone number _(____)_____-___________

Mailing Address:

Street _____________________________ City ________________ Zip Code ___________

Academic and Personal Information:

Will you be attending Cabrillo College next fall? □ YES □ NO

Have you attended Cabrillo before? □ YES □ NO

What was your most recent semester attended?__________________________

Are you a US citizen or Permanent Resident? □ YES □ NO

What is the primary language spoken in your home?

__________________________

Please briefly answer each of the following questions:

1. Why do you want to participate in the Summer Energy Academy?

2. What are some of your ideas about a possible college major?

3. What is your favorite thing you have ever learned in a math or science class?

4. What are your hobbies?

5. Describe your experience in working in groups.

6. Which issues concerning energy or global climate change interest you the most?

7. Describe your other plans for the summer.

8. What invention would you make if you could? Why?

9. We are looking for responsible and committed students who will get the most out of the Energy Academy. Not missing classes, being on-time, and getting involved in all the activities will be expected of every student in the Academy. Please describe how committed you would be.

Faculty Comments:

STEEP is a project funded by the National Science Foundation and implemented by the Cabrillo MESA program.