2013 Program

Student Participant Application – Due Oct. 19, 2012

The ICEX Programis a collaborative effort between California Polytechnic State University’s Computer Engineering Program andvarious international partners. ICEX is an opportunity for students to apply their technical knowledge in an international context and to increase global citizenship across campus. The 2013 program is a continuation of the Maltese Archeology Through RoboticsProject with the likely addition of a Marine Science Robotics and Visualization Project.

Eligibility Requirements

  1. Must be enrolled in a Cal Poly Engineering program up until Spring quarter 2013.
  2. Must have completed at least 1 year of study at Cal Poly.
  3. Must have a minimum GPA of 3.0
  4. Must pay the deposit of $200 by November 1st, 2012, either through personal funds, bursary, or from fundraising. Checks must be written to ‘California Polytechnic State University’ and are dropped off at the Computer Engineering Program office. The balance of $100 is due by January 30, 2012. After January 30, 2013, the $400 fees are non-refundable.

How to apply

By October 19th, 2012 at 4:00pm, submit via email a softcopy of this document to

What’s next?

Only completed applications will be considered.Selected candidates will becontactedfor an interviewin lateOctober. Students selected must register for courses ES/WGS 351, CSC 570/572 and CPE 400 to be taken during the 2013 Winter quarter. Students must also submit a $400 fee and travel documentation. We will be holding a mandatory orientation meeting with selected participants bythe end of Fall Quarter 2012.

If you have any questions regarding details of the program or the application process, please contact the Computer Graphics Technical Advisor,Zoë Wood ().

2013 Program

Participant Application

Name: / Student/Employee IDNumber:
College: / Major:
Level (freshman, etc.): / Student Type: Undergrad Graduate
Email Address:
Local Address:
Phone Number:
Permanent/Home Address (if different than above):
Permanent/Home Phone Number:
References:
Please provide the names and contact information for two individuals that can attest to your interest and readiness for participation in the ICEX program.
Name: Relationship:
Phone Number: Email Address:
Name: Relationship:
Phone Number: Email Address:

Questions

Using the space below, please respond to the following questions:

  1. In 500 words or less, please describe why you are interested in the ICEX program and any experiences that have prepared you for participating in an international program.
  1. In 500 words or less, please describe how you will make a meaningful contribution to the ICEX team and the Maltese Archeology through Robotics project.
  1. Please describe your learning goals for participating in the ICEX program.

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2013 Program

Emergency Contact Information

Name:

Student Number:

Email address:

Phone number in San Luis Obispo:

Home phone number, if different:

Medical conditions/allergies you think we should know about:

In case of emergency during the ICE-X program, please notify the following person/people:

Name:

Relationship to self:

Home Address:

Home Phone number:

Work Phone number:

Cell Phone number:

Name:

Relationship to self:

Home Address:

Home Phone number:

Work Phone number:

Cell Phone number:

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