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:
Your answer
Last Name:
Your answer
Middle Name
Your answer
Gender
Street Address:
Your answer
City:
Your answer
State:
Zip:
Your answer
Telephone:
Your answer
Contact person in case of emergency:
Your answer
Home Telephone:
Your answer
Work Telephone:
Your answer
Date of Birth (mm/dd/yyyy):
Your answer
School grade entering in Fall 2017:
Your answer
Reference:
(Teacher, Counselor) Name, Phone Number, E-mail
Your answer
Community College Name, Address, City, State, Zip:
Your answer
Middle School or High School Name, Address, City, State, Zip:
Your answer
Total number of credits completed:
Your answer
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.)
Your answer
List all the math and science courses taken in Middle, High School or Community College:
Your answer
List all previous math, science, and technology related activities, science fairs, etc… that you have participated in Middle, High School or Community College:
Your answer
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
Your answer
Date:
mm/dd/yyyy
Your answer
This section must be signed by the Student:
Print Full Name (Student):
Student Signature
Your answer
Date:
mm/dd/yyyy
Your answer
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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