Engineering Camp Information

Bucknell University’s College of Engineering invites you to apply to Engineering Camp, 2012. This program is an academically challenging introduction to various engineering disciplines, topics in technology, and how basic scientific knowledge is applied in engineering design. The curriculum includes classroom instruction, laboratory experiments, and a variety of interesting and fun academic activities.

1) General Information

First Name
Last Name
Middle Initial
Gender	M or F
Grade in September 2012 (i.e., your rising grade)	8, 9, 10, 11 or 12 are appropriate
Date of Birth	Format: YYYY-MM-DD
Email address

2) Recommendations (forms will be emailed separately.)

Name & Location of your current Middle/High School
Guidance Counselor Providing Recommendation	Use Last Name
Teacher Providing Recommendation	Use Last Name

3) Permanent Address

Street or PO Box	Example: 100 Pleasant Lane
City, State and Zip Code	Example: Lewisburg, PA, 17837
Home Phone Number	Example: (999) 999-9999 US Phone Number

4) Family Contact

Mother/Guardian Name
Mother/Guardian Primary Contact Number	Example: (999) 999-9999 US Phone Number
Mother/Guardian Work Phone Number	Example: (999) 999-9999 US Phone Number
Father/Guardian Name
Father/Guardian Primary Contact Number	Example: (999) 999-9999 US Phone Number
Father/Guardian Work Phone Number	Example: (999) 999-9999 US Phone Number