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SUMMER GATEWAY ACADEMY 2018
HOSTED BY THE ANTELOPE VALLEY UNION HIGH SCHOOL DISTRICT (AVUHSD)

The Gateway Academy is a day camp summertime experience for incoming 7th or 8th graders, which is designed to inspire students to learn more about science, technology, engineering, and math. Campers work together using leading-edge technologies to sample such disciplines as robotics, aeronautics, and computer design.

PROCEDURE

Prior to filling out the application:
1. Have Student Interest Paragraph(s) ready to “copy and paste” into the student essay area.

2. Determine which teacher will complete the teacher recommendation portion of the application and verify that they are willing to do so once you have a printed copy of the application.


While filling out the application: (will take approximately 10 minutes to complete)
1. Student must be present when submitting this application

2. FOR EACH PAGE
a. Enter the Information
b. PRINT PAGE # 2 BY USING THE INTERNET PRINT FUNCTION!
(We recommend you use the "double-sided" print feature)
c. Press Continue

3. On Last Page (page # 4)
a. Enter the Information
b. PRINT THE PAGE BY USING THE INTERNET PRINT FUNCTION!
(We recommend you use the "double-sided" print feature)
c. Press Submit

**Application deadline is Friday, May 25, 2018 or until camp is full **

Email address *
STUDENT'S INTEREST PARAGRAPH(S):
Why do you want to attend the Summer Gateway Academy?
Requested Camp Dates: *
(check one)
Student's Interest Paragraph(s) *
Write an essay of one or two paragraphs telling about your interest in an engineering, math, science, or technology related career (what, why, etc.). Include your plans for your education or training after high school.
Your answer
Have you attended or plan on attending other summer camps? *
(If so, please write down the names, below or type "none")
Your answer
How did you find out about this Summer Gateway Academy: *
(Check one or more)
Are you currently a student in a PLTW Gateway to Technology class at your school? *
STUDENT'S INFORMATION AREA:
Student's First Name *
(First name only)
Your answer
Student's Middle Initial
(Middle initial only)
Your answer
Student's Last Name *
(Last name only)
Your answer
Student's Date of Birth: *
MM
/
DD
/
YYYY
Gender:
Full Address: *
(Include a street address, city and zip code)
Your answer
What School Are You Currently Attending? *
Your answer
Current School Grade: *
Required
School Attending Fall 2018: *
Your answer
Parent or Guardian Contact: *
Parent's Full Name:
Your answer
Parent's Home Phone Number: *
(Format required (xxx) xxx-xxxx)
Your answer
Parent's Business Phone Number: *
(Format required (xxx) xxx-xxxx)
Your answer
Parent's Cell/Alternate Phone Number: *
(Format required (xxx) xxx-xxxx)
Your answer
Parent's E-mail Address: *
“primary method of contact will be e-mail, except in the event of an emergency where phone will be used.”
Your answer
Student's Ethnic Background
(optional)
Does the student have any special needs (e.g. medical, behavioral, developmental, etc.)?
(If you marked "yes," please note details on the medical form provided by the instructor with notification of acceptance).
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