Application Form
Thank you for your interest in the Engineering Ahead Summer Programs 2017. Please complete the following application for the Engineering Ahead Summer Programs at Penn State Altoona, Abington, and Berks. The application deadline is Sunday April 30, 2017.

If you have any questions about the program at Penn State ABINGTON, please contact Professor Ann Schmiedekamp at
ams@psu.edu, (215) 881-7572.

If you have any questions about the program at Penn State ALTOONA, please contact Professor Peter Shull at
pjs18@psu.edu, (814) 574-2886.

If you have any questions about the program at Penn State BERKS, please contact Professor Pradip Bandyopadhyay at
pkb10@psu.edu, (610) 396-6034.

You may apply to an Engineering Ahead program if you have not officially accepted your offer from Penn State. However, acceptance into an Engineering Ahead program is contingent on acceptance of your Penn State offer.

Student Information:
First Name *
Your answer
Last Name *
Your answer
PSU ID# (9-digit number, if you have one) *
Your answer
Gender *
Your answer
Penn State campus you will attend in the fall *
Intended Major *
Your answer
Student Contact Information
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Student Phone Number *
Your answer
Parent Phone Number *
Your answer
Student Preferred Email Address *
For example, abc1234@psu.edu
Your answer
Parent Email Address *
Your answer
Academic Information and Career Goals
I have taken or will take the ALEKS Online Math Placement Test on this date: *
Please note that the ALEKS Math Placement Test must be completed by the Engineering Ahead application deadline.
MM
/
DD
/
YYYY
If you have taken the ALEKS MATH test, what was your score?
Your answer
If you took the SAT exam, what was your SAT MATH score?
Your answer
If you took the ACT exam, what was your ACT MATH score?
Your answer
Please tell us about your academic and career goals and how participation in the Engineering Ahead program will help you to achieve your goals *
Your answer
Background Information
What is your citizenship status? *
If Dual Citizen Only
(Countries of Citizenship)
Your answer
If Permanent Resident
(Native Country)
Your answer
What is your race/ethnicity? *
Are you the first person in your family to go to college (first-generation college student)?
Transportation (for Penn State Abington students)
How do you plan to travel to the Engineering Ahead program daily?
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