Penn Engineering

PART I: Personal Information

Last Name

First Name

Street Address

City

State

Zip Code

Home Phone Number

Date of Birth

(e.g. 11/21/1995)

Current Grade (12-13 school year)

6th Grade
7th Grade
8th Grade

Racial/Ethnic Group (optional)

White, non-Hispanic
Hispanic
Black, non-Hispanic
Native American
Asian or Pacific Islander

Parent or Guardian Name

Parent or Guardian Email

Work Phone

Part II: School Information

Name of Current School

District/City

What type of school do you attend?

Public
Parochial
Private
Home Schooled
Charter

1) What grade level mathematics are you studying this year?

5th
6th
7th
8th
Other:

2) What grade level science are you studying this year?

5th
6th
7th
8th
Other:

3) Please tell us your last reported grades and classes. In addition, please include a copy of your most recent report card with your application materials.

Subject	Grade

4) How do you use computers (surf the web, play games, write programs, word processing, etc.)?

5) Have you done any programming or webpage development? Have you taken a computer class?

6) Have you participated in math or science programs outside of school (including GEMS)?

Yes No

If Yes, which program?

7) Why would you like to participate in PennGEMS? (Please have the student answer this question herself!)

8)All Robotics track – Spend all week in the robotics lab learning about and playing with robots. Space in the robotics only track is limited. No prior robotics experience preferred. Do you want to be considered for the Robotics only track?

Yes No

9) Please tell us about yourself by answering the following questions.

I have participated in a competition in school. Describe the competition.

I have participated in an academic competition outside of school. Name of competition:

Academic Awards or Honors in school:

Academic Awards or Honors outside of school:

Participated in other academic summer camps. Name of program:

10) Are you applying for financial aid?

Yes No

11) Did you attend GEMS in the past?

Yes No

If Yes, what year?

12) Please add any other pertinent information.

Part III - Additional Information

T-Shirt Size:

Youth Medium (10-12)
Youth Large (14-16)
Adult S
Adult M
Adult L
Adult XL

Name of teacher writing a recommendation:

How did you hear about the GEMS program?

Teacher / Guidance Counselor
Family or Friend
Internet Search
Parent works at Penn
Received a letter and brochure in the mail.
I have attended GEMS in the past.
Other:

To Complete Your Application Please Enclose the Following:

Permission form signed by both student and parent.
One Sealed Envelope with Teacher Recommendation Information from Current Math or Science Teacher. After the teacher has completed the recommendation form, the teacher should place it in an envelope, sign the seal of the envelope, and return the sealed envelope to the student for submission with the completed application. Download Teacher Recommendation form here GEMS Summer Camp Teacher Recommendation Form. Note: Recommendations can also be e-mailed directly to awe@seas.upenn.edu. If e-mailed, they must come directly from the teacher and not from the student or parent.
Application Fee: Non-refundable $25. Only U.S. bank checks or money orders will be accepted. Do not send cash. Make checks payable to "Trustees of University of Pennsylvania" and Memo: GEMS App Fee for <student name>.
Financial Aid: A limited amount of financial assistance is available. Please fill out this form and send it in with the rest of your application materials.

Send All Application Materials in One Envelope to: Michele Grab, University of Pennsylvania, 111 Towne, 220 S. 33rd St, Philadelphia, PA 19104.

GEMS Contact:

Penn GEMS:
Girls in Engineering, Math and Science Camp

Apply Online

GEMS Contact:

Penn GEMS: Girls in Engineering, Math and Science Camp

Apply Online

Penn GEMS:
Girls in Engineering, Math and Science Camp