Student Application Information
2015 CSE RoPro College Challenge Camp
The University of Texas at Arlington
Computer Science and Engineering Department (CSE@UTA)
The RoPro College Challenge Camp is for students who are entering
11th grade, 12th grade or who have just graduated high school in
May/June 2015.
The schedule for the RoPro College Challenge Camp is
Thursday, July 2 and Friday, July 3, 2015
8:30am to 5:30pm both days.
The fee for the RoPro Camp in 2015 will be $40.
Instructions for completing the application packet:
We anticipate that the number of applications will exceed the program limit of 20 students. It is
therefore important that you provide a complete application packet by the submission deadline of
May15th. Please follow these instructions:
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Complete your Student Application Form (please type both pages).
Have one of your mathematics or science teachers complete the evaluation form and
return it to you in a sealed envelope with the teacher’s signature across the seal.
Obtain a copy of your transcript or cumulative record from your school counselor or from
the school office of records.
There are two ways to submit applications:
1) Mail these three items as a single application packet. The packet must be postmarked by
May15th. Send the complete application packet to:
UTA College of Engineering
RoPro College Challenge Camp c/o Dr. Carter Tiernan
Box 19014
Arlington, TX 76019-0019
2) Carefully scan your documents and e-mail the application and transcripts as attachments to:
engineeringoutreach@uta.edu
with the subject line: " Application - RoPro CCC, Last Name" where "Last Name" is the last name
of the student who is applying. Make sure the teacher submits their evaluation directly to us.
Both paper and electronic applications will be acknowledged with an e-mail when they are
received. Do NOT send any money at this time. You will be notified when you are accepted for
the RoPro Camp.
For additional information, contact:
Dr. Carter Tiernan.
CSE Director of Outreach
Assistant Dean for Student Affairs, College of Engineering
817-272-0113 phone or engineeringoutreach@uta.edu (preferred)
Feel free to copy and distribute the RoPro camp application materials.
Student Application Form
CSE RoPro College Challenge Camp
The University of Texas at Arlington
Computer Science and Engineering (CSE) Department
Student: Please supply all requested information. Please print or type.
You are welcome to attach a small photo of your student with this application.
Last Name _____________________________First ______________________M. I. ___
Address_________________________________________________________________
City, State, ZIP ___________________________________________________________
Please provide at least one of the following contact methods:
Home Phone ______ - _________________ Work Phone ______ - _________________
Cell _____ - __________________ E-mail_____________________________________
School Currently Attending __________________________________________________
Age _____ Current Grade _____ School
District__________________________________
Name of Teacher Providing Evaluation_________________________________________
Please list your current class subjects
Please describe any extracurricular activities
Please describe any awards and honors
Parent/Guardian:
Name __________________________________________________________________
Home Phone ______ - _________________ Work Phone ______ - _________________
Cell _____ - __________________ E-mail_____________________________________
I acknowledge that he/she has my permission to attend the UT Arlington CSE RoPro
College Challenge Camp. I understand that he/she will be subject to the
rules and program requirements of the RoPro Camp program.
Signature ______________________________________________________________
Date_______________________________________
Student Application Form (continued)
CSE RoPro College Challenge Camp
The University of Texas at Arlington
Computer Science and Engineering (CSE) Department
Student: Please print or type your answers to the following questions and statements.
Please include the question along with your answer.
Your Name ________________________________________________________
(1) What do you know about robotics?
(2) What colleges are you considering attending and where have you already applied (if
any)?
(3) Why do you want participate in the CSE RoPro College Challenge Camp?
These responses are my own work and have not been edited by others. I understand that
I must attend and participate in all scheduled classes and events throughout the duration
of the program (unless unable to do so because of an excused absence such as illness). I
agree to abide by the rules and program requirements of the RoPro Camp program.
Signature ________________________________________________________
Date_______________________