NOAA CENTER FOR ATMOSPHERIC SCIENCES (NCAS) WEATHER CAMP APPLICATION FORM Summer 2012 Only U.S. Citizens or Permanent Residents may apply. Please read information carefully and type or print ALL information clearly in blue or black ink. PERSONAL DATA Name [Last] Current Address (city, state, and zip code) Birthdate [First] [Middle Initial] ___I am or ___ am not covered by my parent’s medical insurance plan (please check the one that applies) Home Phone Number Cell Phone Number Personal E-mail Address Name of Parent/Guardian Parent/Guardian Address (if different from Current Address) Parent/Guardian Work Phone Number Parent/Guardian E-mail Address ACADEMIC STATUS: Grade Level 6 ___ 7 ___ 8 ___ 9 ___ 10 ___ 11 ___ Middle School/High School (Name & Mailing Address) School Phone Number School Fax Number Overall Cumulative GPA/scale (ex. 3.50/4.00) On a separate page, please list Advanced Placement Honors or college classes taken, if applicable. Please list any high school honors, activities, team memberships, awards received and/or jobs held. Guidance Counselor _______________________________________________ Signature __________________________________________________ Printed Name Counselor’s Telephone Number Counselor’s E-mail Address Preferred choice of camp site (first, second, etc.) _____Washington, DC (residential) _____New York, NY (commuter) _____Puerto Rico (residential) _____El Paso, Texas (commuter) _____Greensboro, NC (commuter) _____Jackson, MS(commuter) _____Lincoln, NE (commuter) _____Phoenix, AZ (commuter) _____Miami, FL (commuter) _____Houston, TX (commuter) Career Interests (use an additional page if necessary) How did you learn about the NOAA Center for Atmospheric Sciences Weather Camp? (e.g., school, science fair, organization (name), family, friend, flyer) I have read and understand the description and eligibility criteria for the Howard University NOAA Center for Atmospheric Sciences Weather Camp. I give Howard permission to review my child’s complete academic record for consideration. Parent or Guardian’s Signature: Printed Name: Date: NOAA CENTER FOR ATMOSPHERIC SCIENCES (NCAS) Weather Camp 2012 Application Checklist Please provide all the items listed below for the application process. Only completed packets will be reviewed by the NCAS office. The application packet may be mailed or hand-delivered. Application: See reverse side of this form. Please submit a cohesive and compelling typewritten personal statement (1 page maximum, single spaced, 12 point – Times New Roman font) which addresses the following questions: Why are you interested in weather? What do you hope to learn from the weather camp? Why should you be accepted into the weather camp? (please add anything else that we should know about you) Two letters of Recommendation (one must be from your science teacher). These should not only detail past information but also why you would be a prime candidate for weather camp. (These should be provided by non-family members and MUST be enclosed with the application) Official high school or middle school transcript Remember to fill out the application form in its entirety. Print clearly or type your information on the application form. Considerable weight will be given to the letter of recommendations and the personal statement, so please include them with the application. Completed Application Packages will be accepted until April 13, 2011. Return application packet by email or deliver to the relevant physical address: Washington, DC: NOAA Center for Atmospheric Sciences (NCAS) Howard University Research Building I, Room #305 1840 7th Street, NW Washington, DC 20001 E-mail: noaa-cas@howard.edu Telephone: 202-865-8678 Fax: 202-865-8294 Jackson, MS: Dr. Loren White Department of Physics, Atmospheric Sciences and GeoScience Jackson State University P. O. Box 17660 Jackson, MS 39217 Email: loren.d.white@jsums.edu Telephone: 601-979-3635 Fax: 601-979-3630 Puerto Rico: Dr. Yasmin Detres Department of Marine Sciences University of Puerto Rico PO Box 9000 Mayaguez, PR 00681 Email: yasmin.detres@upr.edu Telephone: 787-899-2048 El Paso, TX: Dr. Rosa Fitzgerald Department of Physics University of Texas El Paso 500 West University Avenue El Paso, Texas 79968 Email: rfitzgerald@utep.edu Telephone: (915) 747-7530 Greensboro, NC: Dr. Keith Schimmel Director of Education and Outreach for NOAA ISET Cooperative Science Center, noaaiset.org North Carolina A&T State University 301 Gibbs Hall Greensboro, NC 27411 Email: schimmel@ncat.edu Telephone: 336-285-2329 New York, NY: Dr. Brain Vant-Hull Weather Camp Coordinator Steinman Hall, room 103 City College of New York 140th and Convent Ave NY, NY 10031 Email: brianvh@ce.ccny.cuny.edu Telephone: 212-650-5815 Lincoln, NE; Phoenix, AZ; Miami, FL; and Houston, TX: H. Micheal Mogil How the Weatherworks 1104 6th Street South Naples, FL 34102 Email: hmmogil@weatherworks.com Telephone: 240-426-2900 Fax: 202-742-2806 THERE IS NO PARTICIPANT FEE FOR THIS PROGRAM (Travel to/from location site is NOT covered)