Student Information Student Name Teacher Information Your Name Your Title Your E-Mail Address Class You Taught Grade School Name Comment In the space above, please comment on how the student will benefit from participating in this program. Describe the applicant’s typical classroom performance. How would you characterize this applicant’s enthusiasm and interest in math or engineering? Please include any other information that would be beneficial for the committee to consider in its selection. Student Performance Achievement - Select -Top 5%Top 10%Top 25%Top 50%Bottom 50% Leadership - Select -Top 5%Top 10%Top 25%Top 50%Bottom 50% Motivation - Select -Top 5%Top 10%Top 25%Top 50%Bottom 50% Self-Discipline - Select -Top 5%Top 10%Top 25%Top 50%Bottom 50% Commitment - Select -Top 5%Top 10%Top 25%Top 50%Bottom 50% Please rank this student's academic performance, in relation to her peers. Please answer this CAPTCHA so we know you're not a robot. 17 + 0 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
