Morgan State University School of Engineering: Science You Can See (SYCS) LESA 2017 Summer Camps
Fun filled summer camp, that focuses on hands-on learning and teaches students how to build simple electronic circuits and learn the latest about Smart Lighting Technology !!!

Camp Dates: July 5 to July 28, 2017
Application Deadline: June 203 2017
First Name: *
Last Name: *
Middle Name
Gender *
Street Address: *
City: *
State: *
Zip: *
Telephone: *
Contact person in case of emergency: *
Home Telephone: *
Work Telephone:
Date of Birth (mm/dd/yyyy): *
School grade entering in Fall 2017: *
Reference: *
(Teacher, Counselor) Name, Phone Number, E-mail
Community College Name, Address, City, State, Zip:
Middle School or High School Name, Address, City, State, Zip: *
Total number of credits completed:
Email Address: *
(We require your email address or your parent’s email address. We will not be able to process your application without an email address.)
List all the math and science courses taken in Middle, High School or Community College: *
List all previous math, science, and technology related activities, science fairs, etc… that you have participated in Middle, High School or Community College: *
Please choose the week(s) you want to attend (you can select multiple weeks) *
NOTE: The activities in each week are subject to change
Required
Parents’ Agreement of Participation and Consent (not required for community college students above the age of 18):
As the parent/guardian, I agree to be involved in the after school program with my daughter/son for the Summer 2017. I understand that this program is an on-campus program and will require weekly visits to Morgan State University. It is my understanding that while my daughter/son is at the University, she/he will be subject to the regulations of MSU and the Program. I understand that should a health emergency arise, I will be notified, but if I cannot be reached by telephone, such medical treatment as deemed necessary by competent medical personnel will be authorized.
This section must be signed by a Parent/Guardian:
Print Full Name (Parent):
Parent Signature
Date:
mm/dd/yyyy
This section must be signed by the Student:
Print Full Name (Student): *
Student Signature
Date: *
mm/dd/yyyy
Application Deadline: Monday, June 23, 2017
For additional information, contact (Email preferred) to: morgansmartlighting@gmail.com

Contacts:
Dr. Yacob Astatke (Program Director)
(443) 885-4208
yacob.astatke@morgan.edu
Morgan State University - School of Engineering
1700 East Cold Spring Lane, Baltimore, Maryland 21251

OR

Mr. Jerry-Daryl Fletcher (Program Coordinator)
410-652-9536
Jefle1@morgan.edu ; jerrydarylfletcher@yahoo.com

OR

Mr. Andre Lewis (Program Instructor)
443-885-3667
andre.lewis@morgan.edu
Morgan State University - School of Engineering
1700 East Cold Spring Lane, Baltimore, Maryland 21251
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