Smart Cars
Engineering Summer Academy
The "Smart Cars" Engineering Summer Academy is designed for Oklahoma high school students who have completed
their sophomore or junior year in the Spring of 2011. The program will introduce several aspects
within the fields of Science Engineering through the use of academic projects that are designed to
stimulate creativity, and be fun! The academy is funded by the Oklahoma State Regents for
Higher Education (OSRHE) and OSU, so there is NO CHARGE to participants. All project
supplies and equipment, instruction by OSU faculty, lunches, and transportation to scheduled
activities during the academy will be provided. Assistance for transportation to and from the campus may be provided,
based on need. The academy takes place July 10-15, 2011 and includes meals and any dormitory facilities. For more
information contact, Jovette Dew (405) 744-2920, or via email at jovette.dew@okstate.edu.
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Please print or type in black ink.
Name (Last) (First)
Home Address Phone: ( )
City County State Zip Email @
Date of Birth High School
Date of High School Graduation G.P.A. Class Size Rank (if available)
ACT Scores (if available) English Math Reading Science Composite
Has someone from your household graduated from college? (Circle yes or no) Yes No
List your activities, leadership responsibilities, and honors. Please print or type in black ink, and use only the space
provided. Extra-Curricular or Civic/Community Activities (include any clubs, organizations, volunteer groups and work):
Honors or Awards:
Favorite Classes: (place an X by those that apply)
Math English Music Spanish Biology
Chemistry Physics Literature Government Economics
History French German Pre-Engineering Machining
Auto Career Tech Geography Physical Education Other
Recommendation: Give the name of a teacher or counselor who wi l l recommend you (omit if home schooled)
Name: email or phone #: School:
Other OSRHE Academies attended;
Other OSRHE Academies applied for in 2011:
Application deadline is April 1, 2011. Notification of acceptance into the program will occur by May 20, 2011.
I hereby authorize the release of information contained in this application to authorized campus personnel.
P ar e n t o r G u a r d i a n S i g n a t u r e :
______________________________________________Da t e : ,2 0 1 1
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Please answer the following question in the space provided.
How do you think math, science or engineering will help you in
your future career?
Several hundred Oklahoma st udents are applying for State Regents
Summer Academies. Students attending more than one State
Regents Summer Academy may prevent many other students from
having this opportunity. Although some Academies do not have
waiting lists, others have very long w aiting lists.
So that more students may attend a State Regents Summer
Academy, I will notify Academy Directors if I am accepted for
more than one 20 11 Academy.
Student Signature______________________________________
Instructions: Please complete the application, sign and mail or FAX the application to:
Smart Cars Engineering Summer Academy
Diversity Academic Support / Jovette Dew
422 Scott Hall
Oklahoma State University
Stillwater, OK 74078
FAX number: 405.744.4202
The applications must be postmarked by April 1, 2011 and received prior to April 8, 2011.
Selected applicants will be notified by May 20, 2011.
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