College of Engineering and Applied Science
Emerging Ethnic Engineers Program
University of Cincinnati
665 Baldwin Hall
PO Box 210018
Cincinnati, Ohio 45221-0018
Phone: (513) 556-1164 Fax: (513) 556-5007
Emerging Ethnic Engineers Program
Family Science Academy
Description & Application Instructions
The Emerging Ethnic Engineers Family Science Academy Program is designed to expose
students and parents to the fundamental concepts of science, technology, engineering, and math
through hands-on activities and experiences. The program is project based and requires
group collaboration, so it is important that parents and students are able to attend all
program dates.
The Family Science Academy will be held on the following Saturdays: June 13, 20, and June 27,
July 11, 18, and 25 2015, from 9:00 a.m. until 11:30 a.m. The academy is open to students
entering the 4th, 5th, 6th, and 7th grades, and their parents. Acceptance into the academy is on a
first come first come first serve basis.
Please review and sign the Parent/Student Contract section of the application.
The cost of the program is $100 and covers up to two parents and two students. There is a
$25 charge for each additional student. Please submit a money order (non-refundable) for the
appropriate amount with your application.
Applications will not be processed without this fee.
Applications must be received by May 4, 2015 to:
Emerging Ethnic Engineers Program (E3)
University of Cincinnati
P.O. Box 210018
Cincinnati, Ohio 45221-0018.
For additional information please contact our office at 556-1164 if you have any questions.
An affirmative action/equal opportunity institution
College of Engineering and Applied Science
Emerging Ethnic Engineers Program
University of Cincinnati
665 Baldwin Hall
PO Box 210018
Cincinnati, Ohio 45221-0018
Phone: (513) 556-1164 Fax: (513) 556-5007
2015 Family Science Academy
Application Form
PROGRAM DATES: June 13, 20, and June 27, July 11, 18, and 25 2015
Application Deadline: May 4, 2015
STUDENT ELIGIBILITY
Students must be entering the 4th, 5th, 6th, or 7th grade in fall of 2015.
PARENT INFORMATION
Name
Cell Phone
Home Address
Home Phone
City, State & Zip
Email Address
STUDENT PARTICIPATION VERIFICATION
You must include current student report card with application.
STUDENT INFORMATION
Name
Age
Current Grade
Sex
Race
Current School:
School Attending in Fall 2014:
Are you a past participant of the Family Science Academy? Yes __ No ____
List the years you have participated in the Family Science Academy ______________________________
What is your favorite school subject?
Give the most important reason for participating in this program.
Complete application and the signed Parent/Student Contract must be returned by May 4, 2015. Make
money order payable to University of Cincinnati/E3 Program for $100.00
An affirmative action/equal opportunity institution
College of Engineering and Applied Science
Emerging Ethnic Engineers Program
University of Cincinnati
665 Baldwin Hall
PO Box 210018
Cincinnati, Ohio 45221-0018
Phone: (513) 556-1164 Fax: (513) 556-5007
2015 Family Science Academy
UC College of Engineering and Applied Science
Emerging Ethnic Engineers Program
Parent and Student Contract
PARENTS
1.
We do not have the capacity to serve students with an Individual Education Plan.
2.
Parents and Student(s) must be responsible for making sure that their student(s) attends each
Saturday.
3.
Parents and Student(s) must participate in the program evaluation and longitudinal study used for
the assessment of the Family Science Academy.
4.
Children must have the ability to participate in grade appropriate activities.
STUDENT (S)
1.
Students must be able to follow directions, work independently and in groups.
2.
Students must exhibit the appropriate social behavior in all activities and classroom
We have read and understand that under terms of the Parent/Student Contract, the Director
reserves the right to dismiss any student(s) who does not comply with any of the listed
requirements.
Parent Signature
Student Signature
Date
An affirmative action/equal opportunity institution