CUA Engineering News Frontiers

Camp Dates: July 14 – 19, 2013 Application Form Please complete the following information and send via email or mail to: Engineering New Frontiers CUA School of Engineering 620 Michigan Avenue NE (Pangborn Hall) Washington, DC 20064 EMAIL: [email protected]

Personal Information

Name: ______First Middle Last Date of Birth: ______Gender: Male Female Month/Year Address: ______Phone: ______(Home)

Street address ______(Cell )

City State Email: ______Zip

Academic Information Current Grade Level: Current High School Information:

Junior Counselor Name: ______

Sophomore Address: ______

______Other ______GPA: ______

SAT / PSAT:

MATH _____ WRIT _____ CRIT _____

Additional Information:

 Tuition and fees for the program total $895 (incl. materials, room/board, meals, and entertainment). Applications must be accompanied by a $100 – non refundable deposit (check or money order).

ENF Application (Rev. B)  A letter of recommendation from a teacher, principal, or engineer regarding the students’ interests and aptitude, should be submitted with this application.

 EMAILed applications will be serve as placeholder until completed application package is received.

 Applicants will be notified by April 1st of admission to New Frontiers camp.

How did you hear about us? Newspaper (Please specify) ASEE Telephoned CUA Friend or acquaintance Website Flyer in mail Other: ______High School or Guidance Counselor