What is the Food Science Summer Enrichment Program, FSSEP? FSSEP is an intensive week long program that is designed to help students develop a better understanding of science through experiential activities in Food Science that are linked to the Sunshine Standards. It will run from July 9th to 13th, 2012 from 8:30 a.m. to 4:30 p.m. Learning Objectives Students will learn about food science career opportunities, meet with food science representatives from industry, government and academia and develop research presentation skills Become familiar with simple lab equipment Recognize that the strength or usefulness of a scientific claim is evaluated through scientific argumentation, which depends on critical and logical thinking, and the active consideration of alternative scientific explanations to explain the data presented Describe how scientific inferences are drawn from scientific observations and provide examples from the content being studies Eligibility Students who have completed 7th through the 9th grades with an interest in the sciences and/ who would like to improve their laboratory skills and learn about food science and the food industry. Cost There will be a $100 entry fee for each student. Meals: No meals are provided and each student will be responsible for bringing their meals. Every student must bring an appropriate lunch or money for his/her lunch each day to the program. Location & Time Florida A & M University, College of Agriculture and Food Science Perry-Paige Building, Food Science Lab Room 102S and the Teleconference Center from 9:00a to 4:30p, Monday-Friday Contact Information Mrs. Connie Newman, Coordinator 850-561-2616 Dr. Neil James, Professor 850-561-2310 Dr. Mitwe Musingo, Professor 850-561-2309 Food Science Summer Enrichment Program Application Requirements Application Deadline The application deadline for the 2012 FSSE program (July 9-13) is June 25, 2012. All applications will be reviewed by the Food Science Program and selection decisions will be based on the grades, application essay, letters of recommendation, and demonstrated interest level. Successful applicants will be contacted by Friday, June 29, 2012. Completing the Application A complete application must include: Application Form Application essay: topic – The role of science to my future.(Essay must be typed with a 12 point font, single spaced and not exceed one page with 1 inch margins no longer than one page, single spaced) Transcript/Report Card (2) Letters of Recommendation Submitting the Application The application and supporting documents must be received by the June 25th application deadline. Applications may be received electronically as PDF files. Please scan the completed application form and transcripts and send them, along with your application essay, to Mrs. Conchita Newman, conchita.newman@famu.edu. If mailing your application and supporting documents, please, do not staple any pages and mail to: Mrs. Conchita Newman FSSEP Coordinator FAMU Food Science Program 102 S. Perry-Paige Building Tallahassee, Fl 32307 If you have questions, please contact: Conchita Newman, conchita.newman@famu.edu 850-561-2616 Please feel free to visit the college website for additional information: http://www.famu.edu/cesta Florida A & M University College of Agriculture and Food Sciences Food Science Summer Enrichment Program Summer 2012 Application July 9 – July 13 Personal Information Name: Last First Middle Permanent Address: E-mail: Phone: Home Cell Date of Birth: Gender: Male Female Health Conditions Do you have any physical disabilities that may affect your participation in FSSEP? If yes, please explain: Are you taking any prescribed medication(s)? If yes, please list: Yes Yes No Education Name of High School: Address: City, State, Zip: Counselor’s Name: Current Grade Level: Telephone#: GPA: Application Deadline: June 25, 2012 The application form and all supporting documents must be received by the deadline! No Florida Agricultural and Mechanical University TALLAHASSEE, FLORIDA 32307–3100 ______________________________________________________________ Environmental Health and Safety Phone: 850-599-3442 Fax: 850-599-8024 Florida A&M University – Medical Consent and Liability Release This is a legal and binding agreement which, when signed, will permanently limit your ability to recover from the parties indicated below for injuries or losses you may sustain as a result of participation in Summer Camp or Summer Academic Program activities. References to Florida A&M University (henceforth referred to as FAMU) include Florida A&M University, acting by and through its Board of Trustees, the Florida Board of Governors, the State of Florida, its agents, officers, faculty and employees. PLEASE READ CAREFULLY. MEDICAL CONSENT FORM I hereby grant permission for emergency medical service to be rendered as deemed necessary to my child (or myself). I do hereby voluntarily consent and authorize FAMU, in the event of an accident, illness or injury to take whatever measures and actions considered necessary and warranted under the circumstances to protect, safeguard and minimize further injury, health and safety. I understand that such actions may involve or require placement in a hospital or another medical facility for services and treatment. Any transportation expenses by any mode will be a debt and liability for which I accept total responsibility. I hereby further declare, represent and agree, that in the event that FAMU has to exercise the above voluntarily given medical authorization and consent, that I hold harmless, release and forever discharge FAMU from any and all liability, damages, claims and demands whatsoever, including attorneys fees and court cost, which the undersigned, any heir or assigned has made. Finally, I hereby declare and represent that I have read this statement, understood its contents, execute it of my free will and choice, and agree to be legally bound by it. Initial __________ CONTINUE WITH NEXT SECTION LIABILITY RELEASE By signing this MEDICAL CONSENT and LIABILITY RELEASE, I assume any and all liability for any accident, injury, illness, damages or loss that may occur during participation or as a result of Summer Camp Activities at FAMU. In consideration for the acceptance into or voluntary participation in the above stated activity/event, I/We hereby release, waive and discharge any and all demands and claims for, but not limited to, damages, personal injury, property damage, illness, death or loss which I may have or which hereafter accrue to me, against FAMU due to participation in or as a result of the above mentioned activity/event. This release will discharge and hold FAMU harmless from and against any and all liability and demands (including attorney fees and court cost) arising out of or connected in any way with participation in or as a result of the above mentioned activity/event, even though that liability may arise out of negligence on the part of persons or agencies mentioned above. I/We further understand that damages, accidents, injuries or death could arise out of participation or as a result of the abovementioned activity/event. Knowing this, I hereby agree to assume those risk and to release and hold all agencies and persons mentioned above harmless who (through negligence or carelessness) might otherwise be liable to me. I/We fully understand and agree this disclaimer, release, waiver and assumption of risk, is to be binding on my heirs and assigns. I HAVE READ THIS ENTIRE RELEASE. I FULLY UNDERSTAND IT AND AGREE TO BE LEGALLY BOUND BY IT. _______________________________________________ Print Name of Minor or Participant (if under 18 years old) __________________ Minor’s Date of Birth _______________________________________________ Print Name of Parent, Legal Guardian or Custodian _______________________________________________ Print Name of Participant if 18 years or older) _______________________________________________ Signature of Parent, Legal Guardian or Custodian __________________ Date _______________________________________________ Signature of Participant if 18 years or older __________________ Date ________________________________________________________________________ Address ________________________________________________________________________ Phone Number (s) Emergency Contact, Other than parent(s) or legal guardian(s): _______________________ Name ___________________________ Relationship _______________________ Signature ___________________________ Date _______________________ Home Phone ___________________________ Work/Cell Phone