MTM '09 Engineering Camp for Girls
On-line Application Form

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Application Deadline: MAY 22, 2009

If MTM applications arrive after all of the spaces are filled,
a waiting list will be established.
 
To register for MTM '09, please complete the following required information and click on "Submit Registration Form".
 
First Name:  Last Name:
PSU ID (if applicable):  (ex: 999223333)
Mailing Address:

Line1:

Line2:

City:     State:    Zip: 
Home Phone: -
Cell Phone: -
Student E-mail Address:
Parent E-mail Address:
Age:
Birthday: (i.e. xx/yy/zzzz)
Ethnicity: (optional)
Current Grade in School: 8 9 10 11 12
Adult T-Shirt size: Small Medium Large X-Large
Special Dietary Needs (vegetarian, allergies, etc.):
Medical Needs (allergies or other):
 

MTM '09 Day Camp Modules (8am-4pm)
***

Please check each day module you are registering for
(Cost: $30 per day or $125 for the entire week)*
 

Monday 6/29/09 -- Bioengineering & Optics
Tuesday 6/30/09 -- Aerospace Engineering
Wednesday 7/01/09 -- Mechanical Engineering
Thursday 7/02/09 -- Architectural Engineering
Friday 7/03/09 -- Product Innovation & Design

 
Please select one:

Please send me lodging information.
 I have secured lodging on my own.
I do not require overnight accommodations.
 

* Scholarships are available for students with demonstrated financial need but only cover participation fee. Financial need will be determined by Free Lunch Program eligibility. Lodging expenses (if required) are the responsibility of the participant.
Please call the WEP Office for further information (814-863-1080.)
Please select one:
I have mailed my registration check in separately to the WEP Office.
 I will be applying for financial aid.
 

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Please make checks payable to "Penn State University" and mail payment to :

Women in Engineering MTM '09 Camp
The Pennsylvania State University
208 Hammond Building
University Park, PA 16802

Questions about MTM '09?

Please call Cheryl Knobloch (814)863-1080
or email cknobloch@engr.psu.edu

 

Women In Engineering Program
208 Hammond Building, University Park, Pa 16802
Phone: (814)863-1080/Fax (814)863-7496
General Email: wep@engr.psu.edu
Program Director: Cheryl Knobloch, Associate Director, WEP

Page Updated February 02, 2009