ACADEMIC ACHIEVEMENT PROGRAMS
PRE ENGINEERING PROGRAM APPLICATION
(Press the "print" button on your browser to print out
this application and submit via U.S. mail.)

Please circle the program in which you have participated.

Upward Bound      Upward Bound Math/Science       Educational Talent Search

Last Name  
First Name  
Middle Name  
Street Address  
City  
State  
Zip  
Telephone Number  
Current Grade   Current GPA  
High School   Overall GPA  

Please list your math and science courses:

Current Academic Year Next Academic Year
   
   
   
   
   
   

 

 

 

Area of Engineering Interest:

     

Honors, Awards, Science Projects:

 

 

 

Plans after High School:

 

 

 

Career Plans:

 

 

 

I want to be in Pre Engineering because:

 

 

 

I hereby make application for admission into the Academic Achievement Program's Pre Engineering Program.  I affirm that I am willing to comply with the program guidelines by attending all require workshops and by cooperating with the instructors in the Summer Program.

Signature of Student

 

Date

 

Signature of Parent

 

Date