Girls in STEM 2017 - Arizona Science Center

0 downloads 140 Views 70KB Size Report
Thank you to our amazing sponsors AT&T, APS, Central Arizona Project, Freeport-McMoRan Foundation, GoDaddy, Herbert
Girls in STEM 2017 Scholarship Application

Thank you for your interest in Girls in STEM! Thank you to our amazing sponsors AT&T, APS, Central Arizona Project, Freeport-McMoRan Foundation, GoDaddy, Herbert H. & Barbara C. Dow Foundation, Intel, Macy’s, SRP, and WebPT for supporting Girls in STEM! The following application is to apply for a scholarship to participate in the Girls in STEM event on Friday, October 27–28, 2017. Priority will be given to students in areas of highest need for support. Scholarships are limited.

Application Materials Required: 1. Completed application form 2. Additional page for student’s personal statement (if space needed) 3. One letter of recommendation: These should not only detail past information, but also explain why student would be a prime candidate for the Girls in STEM event. (These should be provided by non-family members and MUST be enclosed with the application) The event fee is $30. If a student is appointed a scholarship, the student will be able to attend the October 27–28, 2017 workshop at no charge to the student. Applications will be reviewed starting Octoberber 17, 2017 and decisions will be made by October 17, 2017. Applicants will be notified as they are approved. There are a limited number of scholarships available through Arizona Science Center. If applying for a scholarship, a space in the workshop will not be held for you unless you are awarded a scholarship. If a student is not selected for a scholarship, they may still sign up for the Girls in STEM event at the full $30 fee if space is still available.

 Remember to fill out the application form in its entirety.  Print or type your information neatly on the application form.  This is a competitive process with a limited number of available seats. Considerable weight will be given to the letters of recommendation and the personal statement. Send completed packets to: Arizona Science Center Attn: Girls in STEM 600 E. Washington St. Phoenix , AZ 85004 or [email protected] or fax to: 602-716-2099

GIRLS IN STEM: ARDUINO - SCHOLARSHIP APPLICATION Please read information carefully and type or print ALL information clearly in blue or black ink.

PERSONAL DATA Name of Child [Last] [Middle Initial] Current Address (city, state, and zip code)

[First]

Birthdate & Age

Name of Parent/Guardian

Home Phone Number

Cell Phone Number

Parent Email Address

Parent/Guardian Address (if different from Current Address)

ADDITIONAL STUDENT INFORMATION Grade Level (Fall 2017)

Neighborhood School & School District (Please list the school your house is assigned to)

Please tell us why you would like to attend our 2017 Girls in STEM event. * Please attach separate sheet if needed. (Max 300 words)

What areas of Science, Technology, Engineering, and Math interest you?

How did you learn about Girls in STEM? (e.g., school, organization (name), family, friend, flyer, Facebook, Arizona Science Center)

PLEASE INCLUDE THE FOLLOWING WITH YOUR APPLICATION Completed Scholarship Application

Attached Student Responses, if needed

Please submit completed application to: Arizona Science Center Attn: Girls in STEM 600 E. Washington St. Phoenix , AZ 85004 or [email protected] or fax to: 602-716-2099

Teacher Recommendation Form

Girls in STEM Event - Scholarship Application Teacher Recommendation Form Student Name School Name

Teacher Name

School District

Teacher Email

School Phone Number

Teacher Phone Number

Directions to teacher/reference: The student who has given you this form is applying to attend Arizona Science Center’s Girls in STEM event. Upon completion, if mailing form - please put the recommendation form/letter in a sealed envelope and write your name across the sealed flap so that your comments remain private. Please return the sealed envelope to the student, or mail to: Arizona Science Center Attn: Girls in STEM 600 E. Washington St. Phoenix, AZ 85004 Or Email To: [email protected]

Or Fax To: 602-716-2099

How long have you known the student? _____________ Please rate the student’s ability in these particular areas.

Excellent

Good

Fair

Poor

Please be candid; fair/poor scores do not automatically disqualify a candidate, nor do excellent scores ensure participation.

Academics Reliability Enthusiasm Self-Confidence Leadership Creativity Please share additional comments about the student on the back of this form or attach a recommendation letter (required). Materials must be received by October 17, 2017. Your comments are especially useful in the selection process! Thank you. (Please Circle One) I do/do not recommend that this student participate in Arizona Science Center’s Girls in STEM Program.

Teacher Signature: _____________________________________

Date: ___________________