Sponsored by:
The University of Tulsa
The National Science Foundation
EPSCoR
This form may be submitted electronically, or printed and mailed to:
Tulsa TEC Academy University of Tulsa Education Department 600 S. College Tulsa, Ok 74104
* - required fields
Applicant's Email: * (You must enter your e-mail address or the form will not be sent.)
Applicant's Personal Information
Applicant Name:
Last *
First *
MI
Grade entering in the fall, 2007 4th 5th 6th 7th
Parent/Legal Guardian Name:
Last
First
Address *
Phone *
Which academy do you prefer to attend?
Academy 2 (July 2-7*,11:00-4:00, 6th-7th)
*This academy will not meet on July 4th; extended through Sat.7/7, from 10-3
Current school
Address
The Tulsa TEC Academy as an education program sponsored by State and Federal funds and has a commitment to insure equity based on gender, race, ethnicity, or handicap. This information is confidential and will be used for statistical purposes only. Please place an check the appropriate area. Select one box only. If two or more ethnic categories are applicable, choose the one category with which you most closely identify.
Racial or Ethnic Category
American Indian or Alaskan Native
Asian or Pacific Islander
Black (not of Hispanic Origin)
White (not of Hispanic Origin)
Hispanic
Multi-racial
Other
Gender / Disability
Gender Male Female
Disability Yes No
What size T-shirt would you prefer?
YOUTH sizes
ADULT Sizes
Please a write one paragraph telling us why you are interested in this academy.
Also tell us what technologies you currently use (Internet, word processing, digital cameras, etc...).
Why are you interested in attending this academy? What types of technology have you used?
Please download and submit a letter of recommendation from a teacher to the above mailing address.
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Submission may take a few moments. Only click Send Message one time.
Problems or questions regarding this form should be directed to david-brown@utulsa.edu