ASM Materials Engineering Camp 2017
Please complete form and submit your transcript no later than Friday, May 19th, 2017.
Application Form - Details and Instructions
Thank you for your interest in applying to the 2017 Peoria Materials Engineering Day Camp. Please fill out all required fields of the form, including student information, parent/guardian information, and high school information. Note the last field of the application asks for a personal statement explaining why you are interested in attending this Materials Camp. This statement need not be longer than a few paragraphs, but the form will accept a longer entry if you choose to include one.  

Click "Submit" once you finish the application.  Remember to submit a school transcript to Lindsey Cavanaugh using the provided contact information along with your application. We cannot consider your application until this transcript is received.

Materials Camp is on July 24th - July 27th at 8:00 A.M. to 4:00 P.M. Students will travel to various locations in the Peoria area, including Bradley University, Caterpillar, and other local industry facilities.

Visit www.asminternational.org/web/peoria-chapter for more details!

Student Information
Student's First Name *
Your answer
Student's Last (Family) Name *
Your answer
Preferred 1st Name (for Name Tag)
Your answer
Email Address *
Your answer
Street Address *
Your answer
City
Your answer
State
Your answer
Zip Code *
Your answer
Gender
T-Shirt Size *
Grade you will be entering in Fall 2016 *
Required
Do you have a food allergy to nuts? *
Are you lactose intolerant? *
Do you have any other dietary restrictions, food allergies, etc? *
If yes, please explain.
Your answer
Parent/Guardian Information
Parent/Guardian Name *
Your answer
Street Address *
Your answer
City
Your answer
State
Your answer
Zip Code *
Your answer
Telephone (Daytime) *
Your answer
Telephone (Evening) *
Your answer
Email Address *
Your answer
Basic Information
Name of High School *
Your answer
School Address
Your answer
Current GPA *
Your answer
GPA Scale *
Your answer
How did you hear about the Material's Camp?
Your answer
Please list your active volunteer work.
Your answer
Essay
(1-2 paragraphs)
Why would you like to attend Materials Camp? Please include any information you consider relevant, including your favorite classes in school, plans for college, career interests and what you like to do outside of class, including hobbies, clubs and extracurricular activities. *
Your answer
High School Transcript Submission
Send transcripts (unofficial transcripts allowed) to Tomasz Chojnacki by mail or email (preferred) no later than May 5th, 2017.
Tomasz Chojnacki
(41) Tech Center Building E-854
14009 Old Galena Road
Mossville, IL 61552
Phone: (630) 329-7100
E-mail: chojnacki_Tomasz@cat.com
Questions, Concerns and Comments:
Tomasz Chojnacki [phone] [email]
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