Summer Experience in Science and Engineering for Youth    

Orientation Questionnaire

 

Name: _______________________________________       Date ____________________________

 

Hometown _______________ State _____ High School __________________________________

 

1) High School Activities, Clubs, etc.__________________________________________________

 

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2) Favorite activities, hobbies, interests ________________________________________________

 

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3) Previous summer camps (names, topics, dates)? _______________________________________

 

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4) Computer and Software Experience     [rating:  0 (none) - 5 (excellent)]   

 

Macintosh ____________ PC _________ Windows _______   Other _______________________

 

Internet: email _______ WWWeb ______   Home Page (html)?___________________________

 

 

5) Have you ever visited the remodeled Hatfield Marine Science Center ?    Yes ____  No _____

 

6) Do you have any "special requests" (visit person,  dept.,  facility, etc.) ?

 

7) Do you have any special dietary requirements (vegetarian, no cheese, meat, fish, etc.)?

 

8) What are your favorite PIZZA toppings?

 

9) What are your favorite beverages (be specific -- pepsi, diet coke, OJ, Snapple flavor, etc.)?