The Texas Instruments / Burr-Brown
Application for 2008 Summer Engineering Robotics Camp
(For Students Entering 6th, 7th or 8th Grades in the Fall)
Please submit this form by April 28th, 2008. A program fee of $350 is due upon acceptance into the programs.
Program Dates: June 9th - June 13th 8:30 - 3:30
NAME:
Last:
First:
Middle:
DATE OF BIRTH:
GENDER:
Male
Female
ETHNICITY:
African Am.
Hispanic
Native Am.
White
Other
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
EMAIL:
SCHOOL:
CURRENT GRADE LEVEL:
5th Grade
6th Grade
7th Grade
8th Grade
List your extracurricular activities:
Describe your interest in robotics and reasons for applying to this program: