1. Personal Information

Name: _______________________________________

Parent's Name(s):________________________



Address: _____________________________________

Parent Email Address: ___________________

City, State Zip Code

Student Email Address: __________________

Phone #: _____________________

Date of Birth:__________

Grade in Fall: ______

Middle School from which you are graduating 
(8th 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


List all activities that you will be involved in during the upcoming school year that may require you to meet on Saturdays (e.g. work, sports, clubs, SAT testing, etc.)


2. Essay

In at least 250 words describe:
  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.


  • 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:

P.O. Box 493
Lincroft, NJ 07738

Your Application must be received no later than July 13th

Do not write below For Official PACE Use Only
Date Received: ____________________________ Application Acknowledgment:____________________________
Essay Included: Y___________ N____________ Final Notification: ______________________________________
Transcript Included: Y_______ N____________ Registration Fee Included: Y ____________ N __________
Recommendation Included: Y_______ N____________
Disposition: I______ A______ R _____ W____ Registration Fee Acknowledgment: Y ___________ N________
Interview Date/Time:__________________________