Tech Trek-WA Student Application
Congratulations! You have been nominated to attenda Washington site of the AAUW National Tech Trek Program(“Tech Trek”), an exciting week-long summer camp focused on science, technology, engineering and math (STEM), for girls going into eighth grade. We are looking for girls just like you who are excited about science and math!
There are two camp sites in Washington in summer 2015 – Pacific Lutheran University (Tacoma), July 12-18 and Eastern Washington University (Cheney), July 26-Aug 1. You will attend the camp closest to where you live. Read the Tech Trek brochure and learn more about the program at
This application is due MARCH 1
PLEASE TYPE OR PRINT CLEARLY (IN BLUE OR BLACK INK)
Camper Contact Information
Legal Name of Applicant:______
Birthdate: ______(DD/MM/YYYY) Current Age: ______
School Name:
Current Grade: School District:
Permanent Mailing Address:
City: ______County: ______State:______Zip Code: ______
Applicant Phone Numbers: Home ( )______Cell ( ) ______
T-shirt Size (adult sizes): X-small Small Medium Large X-large XX-large
Application questions:
ESSAY: On a separate piece of paper, please write an original 400-500 word essay on how you would use math and/or science to make the world a better place.
What are your favorite subjects in school? ___
What interests you about attending Tech Trek? (Please be as detailed as possible, use additional pages if needed.) ______
‘
Have you participated in a science fair or other activity, such as First Robotics, Math Counts, Science Olympiad, etc., or any other math or science competitions? Yes No
If yes, please describe your project or activity:
Have you ever built a robot or participated on a robotics team? Yes No
Have you ever programmed computer code or a computer game? Yes No
List any extracurricular school or community activities you participated in this year (e.g., student council, science club, choir, sports, dance, hobbies, etc.)
Will you attend other camps this summer? If yes, please list their names and dates. (Use additional pages if needed.) ______
NOTE: All Tech Trek campers are expected to be ambassadors for the AAUW National Tech Trek Program. This includes keeping a daily journal of experiences while at camp and making presentations about the camp to AAUW branches and members, school and/or community groups when you return home.
I agree to act in this role to the best of my ability: Yes No
Parent/Guardian Contact Information
Name of Custodial Parent or Guardian:
Phone Numbers: Home ( )
Work (____) ______Cell ( )
Email address: ______@__
Preferred communication(s): Home phone Work phone Cell phone Text Email
Name of second Parent or Guardian:
Phone Numbers: Home ( )
Work (____) ______Cell ( )
Email address: ______@_
Preferred communication(s): Home phone Work phone Cell phone Text Email
Mailing Address of Parent/Guardian if different from applicant (please designate which parent):
City: ___ State: ____ Zip Code:
(Personal information will ONLY be used to contact you regarding Tech Trek and is never shared, published or distributed.Email messages are sent to all addresses given; please check often).
Parent/Guardian Signature: Date:
(Print out and sign. Original signature required.)
Note: Campers and camp alternates are notified of their acceptance by April 15. Registration information will be emailed to all selected campers starting April 20. Registration includes payment of a $50 camp reservation. Additional paperwork regarding medical information, parental permissions and camp expectations will be sent once camp registration is complete.
APPLICATION IS DUE MARCH 1, 2015.
RETURN COMPLETED APPLICATION and ESSAY VIA SCAN/EMAIL (PDF File PREFERRED) to Tech Trek WA ().
Pleasemail original, signed document to Tech Trek WA, 805 NW 17th Cir, Battle Ground, WA 98604
Thank you for your Tech Trek Application!