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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 |
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| First Name |
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| Middle Name |
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| Street Address |
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| City |
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| State |
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| Zip |
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| Telephone Number |
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| Current Grade |
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Current GPA |
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| High School |
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Overall GPA |
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Please list your math and science courses:
| Current Academic Year |
Next Academic Year |
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| Area of Engineering Interest:
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| Honors, Awards, Science Projects:
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| Plans after High School:
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| Career Plans:
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| I want to be in Pre Engineering because:
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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 |
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