* 1. Please fill out the following

* 2. Please fill out the following information of your parent or guardian

* 3. Please add an emergency contact other than the one listed above 

* 4. What grade will you be going into? 

* 5. What school will you be attending? 

* 6. Please rate your knowledge or participation from 0 (never heard of it) to 5 (I am the master) 

  0 1 2 3 4 5
Science Bowl
Solidworks 
Rhino3D
RobotC
NXTG
HTML
Gamemaker 
Scratch 

* 7. Why do you want to attend this camp? From 0 (does not apply to me) to 5 (most definity) 

  0 1 2 3 4 5
Attending with a friend 
Have fun! 
Learn more about technology 
Learn more about robotics 
Gain more experience in STEM 
Discover Enginnering in a pressure free environment (without boys) 

* 8. What do you hope to gain from this experience? From 0 (does not apply to me) to 5 (most definitely)

  0 1 2 3 4 5
Have fun!
Positive experience with technology
Technical skills
Meet professional women in technology and engineering
Meet other girls interested in STEM

* 9. 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 
Improves communication 
Makes our lives better 
Helps us use resources more wisely

T