Girls Get IT Application
Exit this survey
*
1
. Please fill out the following.
Please fill out the following.
Name:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
Phone Number:
*
2
. Please fill out the following information of your parent.
Please fill out the following information of your parent.
Name:
Email Address:
Phone Number:
*
3
. Please provide an emergency contact.
Please provide an emergency contact.
Name:
Phone Number:
*
4
. What grade will you be in this coming year?
What grade will you be in this coming year?
7
8
9
10
11
12
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5
. What school will you be attending this coming year?
What school will you be attending this coming year?
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6
. Which Camp will you be able to attend?
(0 for unable to attend that week 1 for first choice 2 for second choice)
Please select an option
July 9th - July 13th
0
1
2
Which Camp will you be able to attend? (0 for unable to attend that week 1 for first choice 2 for second choice) July 9th - July 13th Please select an option
July 16th -July 20th
0
1
2
July 16th -July 20th Please select an option
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7
. Rate your knowledge or participation from 0 (I have never heard of it) to 5 (I am the master):
0
1
2
3
4
5
FLL Team
*
Rate your knowledge or participation from 0 (I have never heard of it) to 5 (I am the master): FLL Team 0
FLL Team 1
FLL Team 2
FLL Team 3
FLL Team 4
FLL Team 5
FTC Team
FTC Team 0
FTC Team 1
FTC Team 2
FTC Team 3
FTC Team 4
FTC Team 5
FRC Team
FRC Team 0
FRC Team 1
FRC Team 2
FRC Team 3
FRC Team 4
FRC Team 5
OGPC
OGPC 0
OGPC 1
OGPC 2
OGPC 3
OGPC 4
OGPC 5
Science Bowl
Science Bowl 0
Science Bowl 1
Science Bowl 2
Science Bowl 3
Science Bowl 4
Science Bowl 5
Solidworks
Solidworks 0
Solidworks 1
Solidworks 2
Solidworks 3
Solidworks 4
Solidworks 5
Rhino3D
Rhino3D 0
Rhino3D 1
Rhino3D 2
Rhino3D 3
Rhino3D 4
Rhino3D 5
RobotC
RobotC 0
RobotC 1
RobotC 2
RobotC 3
RobotC 4
RobotC 5
NXTG
NXTG 0
NXTG 1
NXTG 2
NXTG 3
NXTG 4
NXTG 5
HTML
HTML 0
HTML 1
HTML 2
HTML 3
HTML 4
HTML 5
Java
Java 0
Java 1
Java 2
Java 3
Java 4
Java 5
Arduino
Arduino 0
Arduino 1
Arduino 2
Arduino 3
Arduino 4
Arduino 5
Gamemaker
Gamemaker 0
Gamemaker 1
Gamemaker 2
Gamemaker 3
Gamemaker 4
Gamemaker 5
*
8
. Why do you want to go to this camp?
from 0 (being does not apply to me) to 5 (most definitely)
0
1
2
3
4
5
Attending with a friend
*
Why do you want to go to this camp? from 0 (being does not apply to me) to 5 (most definitely) Attending with a friend 0
Attending with a friend 1
Attending with a friend 2
Attending with a friend 3
Attending with a friend 4
Attending with a friend 5
Have Fun!
Have Fun! 0
Have Fun! 1
Have Fun! 2
Have Fun! 3
Have Fun! 4
Have Fun! 5
Learn more about Technology
Learn more about Technology 0
Learn more about Technology 1
Learn more about Technology 2
Learn more about Technology 3
Learn more about Technology 4
Learn more about Technology 5
Learn more about Robotics
Learn more about Robotics 0
Learn more about Robotics 1
Learn more about Robotics 2
Learn more about Robotics 3
Learn more about Robotics 4
Learn more about Robotics 5
Learn more about Sciences
Learn more about Sciences 0
Learn more about Sciences 1
Learn more about Sciences 2
Learn more about Sciences 3
Learn more about Sciences 4
Learn more about Sciences 5
Gain experiences in Science Technology Engineering and Math
Gain experiences in Science Technology Engineering and Math 0
Gain experiences in Science Technology Engineering and Math 1
Gain experiences in Science Technology Engineering and Math 2
Gain experiences in Science Technology Engineering and Math 3
Gain experiences in Science Technology Engineering and Math 4
Gain experiences in Science Technology Engineering and Math 5
Discover engineering in a pressure free environment (without boys)
Discover engineering in a pressure free environment (without boys) 0
Discover engineering in a pressure free environment (without boys) 1
Discover engineering in a pressure free environment (without boys) 2
Discover engineering in a pressure free environment (without boys) 3
Discover engineering in a pressure free environment (without boys) 4
Discover engineering in a pressure free environment (without boys) 5
Other (please specify):
*
9
. What do you hope to gain from this experience?
from 0 (being does not apply to me) to 5 (most definitely)
0
1
2
3
4
5
Have Fun!
*
What do you hope to gain from this experience? from 0 (being does not apply to me) to 5 (most definitely) Have Fun! 0
Have Fun! 1
Have Fun! 2
Have Fun! 3
Have Fun! 4
Have Fun! 5
Positive experiences with technology
Positive experiences with technology 0
Positive experiences with technology 1
Positive experiences with technology 2
Positive experiences with technology 3
Positive experiences with technology 4
Positive experiences with technology 5
Technical skills
Technical skills 0
Technical skills 1
Technical skills 2
Technical skills 3
Technical skills 4
Technical skills 5
Meet professional women in technology and engineering
Meet professional women in technology and engineering 0
Meet professional women in technology and engineering 1
Meet professional women in technology and engineering 2
Meet professional women in technology and engineering 3
Meet professional women in technology and engineering 4
Meet professional women in technology and engineering 5
Meet other girls interested in science technology engineering or math
Meet other girls interested in science technology engineering or math 0
Meet other girls interested in science technology engineering or math 1
Meet other girls interested in science technology engineering or math 2
Meet other girls interested in science technology engineering or math 3
Meet other girls interested in science technology engineering or math 4
Meet other girls interested in science technology engineering or math 5
Other (please specify)
*
10
. How do YOU think engineering is important in everyday life?
from 0 (being not at all) to 5 (most definitely)
0
1
2
3
4
5
Helps solve everyday problems
*
How do YOU think engineering is important in everyday life? from 0 (being not at all) to 5 (most definitely) Helps solve everyday problems 0
Helps solve everyday problems 1
Helps solve everyday problems 2
Helps solve everyday problems 3
Helps solve everyday problems 4
Helps solve everyday problems 5
Improves communication
Improves communication 0
Improves communication 1
Improves communication 2
Improves communication 3
Improves communication 4
Improves communication 5
Makes our lives better
Makes our lives better 0
Makes our lives better 1
Makes our lives better 2
Makes our lives better 3
Makes our lives better 4
Makes our lives better 5
Helps us to use resources more wisely
Helps us to use resources more wisely 0
Helps us to use resources more wisely 1
Helps us to use resources more wisely 2
Helps us to use resources more wisely 3
Helps us to use resources more wisely 4
Helps us to use resources more wisely 5
Other (please specify):
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