Name: _______________________________________

Parent's Name(s):________________________

________________________

Address: _____________________________________
Street

Parent Email Address: ___________________

___________________________________
City, State Zip Code

Student Email Address: __________________

Phone #: _____________________

Date of Birth:__________

Grade in Fall: ______

Middle School from which you are graduating 
(8^th Graders only)

__________________________________________

High School you are attending in the Fall

__________________________________________

Math class(es) you are taking in the Fall

__________________________________________

Math class(es) taken since the 8th grade

__________________________________________

Science class(es) you are taking in the Fall

__________________________________________

Science class(es) taken since the 8th grade

__________________________________________

2. Essay

1. Why you want to be in the PACE program and what you expect to gain from your participation in PACE.
2. Why you are interested in a career in science, engineering & technology or, if not interested, what are your current thoughts about your career direction.

Additionally:

• If you have had an experience or achievement that has particularly inspired you to pursue a career in science, engineering & technology please describe it in detail.
• If there is someone in your life (friend, neighbor or family member) or someone you have heard about (living or historical) whose life has inspired you to pursue a career in science, engineering & technology, please describe how they have inspired you.

The essay must be typewritten and double-spaced.

3. Report Card

Include a copy of your latest school report card.

4. Recommendation

Include a recommendation from your Guidance Counselor, Science or Math Teacher.
(High School seniors must provide 2 recommendations)

5. Send all items to:

Your Application must be received no later than July 13th