Advanced Technology Program

Funding provided by a grant from the National Science Foundation

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STUDENT REGISTRATION FORM

Summer Energy Education Program for Students Entering Grades 7th or 8th
Program Dates: June 18- 22, 2012
Location: Sheridan, WY
Registration Deadline: June 1, 2012
Program Coordinator: Rob Milne, Ph. D.
rmilne@sheridan.edu

All applicants will be notified regarding their acceptance status by June 11th, 2012.

  1. Students: This form must be filled out by your parents or guardian. They must be the person who submits this form.
Student Information
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Parent/Guardian Information
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  6. (valid email required)
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Tell Us About You and Your World of Energy
  1. What types of fuel do your family vehicles use? (Choose all that apply)
  2. Does your family own a GPS unit?
Attention: Parent/Guardian:
  1. Please read this Photo Release document and acknowledge that you have read and understood it by checking the box below.
  2. Captcha
  3. Please click on the Submit button to the right to finalize your registration. Thank you for registering for the Summer Energy Education Program.
 

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Mailing Address:
Summer Energy Education Program
Dr. Rob Milne, Coordinator
Sheridan College
3059 Coffeen Avenue
PO Box 1500
Sheridan, WY 82801

The Summer Energy Education program at NWCCD – Sheridan College is funded by a grant from the National Science Foundation. NSF Award ID 0802571