“NanoExplorers: A High School Summer Science Academy"

JUNE 3-9, 2018

HIGH SCHOOL SCIENCE AND MATHEMATICS ACADEMY

DEPARTMENT OF CHEMISTRY, PHYSICS & ENGINEERING

CAMERON UNIVERSITY, LAWTON, OKLAHOMA 73505-6377

"NanoExplorers: A High School Summer Science Academy",is designed for Oklahoma high school students who have completedtheir freshman, sophomore or junior year in the Spring of 2018. The program will introduce several aspects within the fields of Science Engineering through the use of academic projects that are designed to stimulate creativity, and be fun! The academy is funded by the Oklahoma State Regents for Higher Education (OSRHE) and Cameron University, so there is NO CHARGE to participants. All project supplies and equipment, instruction by CU faculty, lunches, and transportation to scheduled activities during the academy will be provided. Assistance for transportation to and from the campus may be provided, based on need. The academy takes place June3-9, 2018and includes meals and university housing. For more information contact,E. Ann Nalley (580-581-2889, 495-659.8425,or via email )

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Name (Last)__ (First) SS#

Home Address ______Phone: ()

City County State Zip Email@

Date of Birth High School male/female

Date of High School Graduation G.P.A. Class Size Rank if available

Has anyone from your household graduated from college:(place an X by yes or no) Yes No

List your activities, leadership responsibilities, and honors. Please print or type in black ink, and use only the space provided. Extra-Curricular or Civic/Community Activities (include any clubs, organizations, volunteer groups and work):

Honors or Awards:

Favorite Classes: (place an X by those that apply)

Math / English / Music / Spanish / Biology
Chemistry / Physics / Literature / Government / Economics
History / French / German / Pre-Engineering / Machining
Auto / Career Tech / Geography / Physical Education / Other

Recommendation: Give the name of a teacher or counselor who will recommend you (omit if home schooled)

Name: email or phone #: School:

Other OSRHE Academies attended;

Other OSRHE Academies applied for in 2018:

Application deadline is April 15,2018. Notification of acceptance into the program will occur by May 15', 2018. I hereby authorize the release of information contained in this application to authorized campus personnel.

Signed: ______Date: ,2018

Mailing instructions on the back
Several hundred Oklahoma students are applying for State Regents Summer Academies. Students attending more than one State Regents Summer Academy may prevent many other students from having this opportunity. Although some Academies do not have waiting lists, others have very long waiting lists.

So that more students may attend a State Regents Summer Academy, I will notify Academy Directors if I am accepted for more than one 2018Academy.

Applicant Signature______

Instructions: Please complete the application, sign and mail or FAX the application to:

NanoExplorers Summer Science Academy

DEPARTMENT OF CHEMISTRY, PHYSICS & ENGINEERING

Cameron University

226 Sciences Complex

Lawton, OK 73505

FAX number: 580-581-7958

The applications must be postmarked by April 15, 2018and received prior to April 21, 2018.
We will begin notifying selected applicants by May 15, 2018.

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