WYSE High School Summer Research 2023

2023 Worldwide Youth in Science & Engineering High School Summer Research

Block I Grainger Engineering Please complete the following form to submit your application to these Science, Engineering, and Medicine Summer Research Programs at the University of Illinois.

Don't forget to hit the Submit application button at the bottom of this page. Your application will not be submitted until you do.

Required fields are indicated with an asterisk.

If you have questions please call 217-300-7603 or wyse@illinois.edu

First Choice for Summer Program*

High School Summer STEM Research

Second Choice for Summer Program

High School Summer STEM Research

Applicant's Personal Information

First Name*

Middle Name

Last Name*

Preferred First Name or Nickname*
What you would want on your nametag

Birthdate*

Gender Identity*

Race*--self-identification with one or more of the following groups:

Ethnicity*--whether a person is of Hispanic origin or not. Hispanics may identify as any of the above races.

Mailing Address*
A U.S. address is required for virtual camps.

Country

Street

City

Region

Postal Code

Phone*

Phone Type*

Mobile Phone

Home Phone

Work Phone

Can we text you at this number?

Yes

No

Applicant's Email Address*
Note: This should be an address that you will have access to and check regularly during summer months

School Currently Attending*

hidden school code

When will you graduate from high school?*

hidden student type

Freshman

Transfer

Have you participated in Grainger Engineering summer programs before?*

Parent/Guardian Information

Does one or more parent/guardian have a college degree?

Yes

No

Parent/Guardian #1: First Name*

Parent/Guardian #1: Last Name*

Parent/Guardian #1: Relationship to Camper*

Father

Mother

Legal Guardian

Other

Other:

Parent/Guardian #1: Primary Phone*

Parent/Guardian #1: Primary Phone Type*

Parent/Guardian #1: Email Address*

Parent/Guardian #2 Information (Optional)

Would you like to provide contact information for a second parent/guardian?*
This will allow camp communications to go to both contacts.

Yes

No

Parent/Guardian #2: First Name

Parent/Guardian #2: Last Name

Parent/Guardian #2: Relationship to Camper

Father

Mother

Legal Guardian

Other

Other:

Parent/Guardian #2: Primary Phone

Parent/Guardian #2: Primary Phone Type

Parent/Guardian #2: Email Address

Recommendation

Your application requires a recommendation from someone outside of your family who can speak to your skills and interests in science, technology, engineering, and mathematics. The following information will be used to contact a teacher, tutor, mentor, or counselor who can complete a Recommendation Form for you. Be sure to notify this person that they should expect an email from wyse@illinois.edu for this purpose.

Your application is not considered complete until ALL supporting documents (including the Recommendation Form) have been received.

Name of the person who will provide your recommendation:

Recommender's Phone (optional)

Recommender's Email

Relationship to Student (e.g. Algebra Instructor, mentor, counselor)?

Coursework in Math and Science

Provide a list of coursework in math, science, technology, and engineering from the last two years, including grades – official transcripts are not required

EXAMPLE
Science	Biology	A
	AP Chem	C
Engineering	Intro to Engineering	B
Math	Algebra	B
	Geometry	A

High School GPA: Please respond to both parts of this question by providing both the grade point average (GPA) and the scale used by your school (e.g. 4.2 GPA on 5.0 scale).

GPA

Scale

Non-coursework Activities

Provide a list of non-coursework activities that you participate in regularly and indicate how often (monthly, weekly, or daily). Also indicate any relevant awards or leadership opportunities

EXAMPLE
Jobs	Waiting Tables	Weekly
Clubs	Science Olympiad	Twice a month
	Culture Club	Monthly	Treasurer
	Cultural Dance Team	Weekly
Awards	Honor Society	previous 3 years
Volunteering	Church Food Pantry	twice a month

Personal Statements

The following interest statements are used for making decisions about acceptance into the program and to identify a good match for your research project. Be sure to be specific and descriptive about your strengths and interests.

Please explain your interest in this program, and describe how you have recently explored or developed this interest inside and/or outside the classroom. Describe the impact that this program will have on your future.

Please write in the space below (or copy/paste from your word processor).
Maximum 500 words

Future Vision: Thinking ahead 5-10 years, what do you hope to be doing, especially in areas of science, technology, and engineering?

Please write in the space below (or copy/paste from your word processor).
Maximum of 300 words.

Communication Channels

Other information source:

Other partner organization:

If you are done with your application, please click the Submit Application button below. You will not be able to make changes to your application once it has been submitted.