S u m m e r C a m p – J u l y 3 1 - A u g u s t 5 , 2 0 1 6
C o l l e g e o f E n g i n e e r i n g & A p p l i e d S c i e n c e
U n i v e r s i t y
o f
W i s c o n s i n – M i l w a u k e e
UW-Milwaukee’s EnQuest is a one-week all girls introductory engineering summer
camp that provides high school girls with a live-in college experience while working
on a sustainable technology project. Campers will meet women engineers, learn
engineering tools and their applications, take field trips and make new friends!
Overnight supervision will be provided by female UW-Milwaukee engineering students
who are excited to share the EnQuest experience.
A P PL IC AT IO N
&
R EG I ST R AT IO N
f or m
Please complete this form to register for the EnQuest Camp. A fee of $275 covers a portion of the
camp costs. The additional costs for overnight accommodations in a shared double room, meals,
entertainment, and workshop fees are paid for by the UW-Milwaukee College of Engineering and
Applied Science with generous support from Johnson Controls.
A non-refundable registration deposit of $50 secures your spot in the camp and is due with your
application. The remaining $225 fee is due at the time of arrival and check-in Sunday, July 31.
Please mail a check (made payable to UWM) and your registration form to:
Chris Beimborn, EnQuest Coordinator
College of Engineering and Applied Science
University of Wisconsin-Milwaukee
PO Box 784
Milwaukee, WI 53201-0784
Deadline: Registration form and fee must be postmarked by June 15, 2016. You will receive an email
confirmation upon receipt of your registration.
Should your summer plans change so that you become unable to attend EnQuest,
please notify UWM as early as possible so that another interested participant can be
accommodated.
S u m m e r C a m p – J u l y 3 1 C o l l e g e o f E n g i n e e r i n g &
U n i v e r s i t y
o f
A u g u s t 5 , 2 0 1 6
A p p l i e d S c i e n c e
W i s c o n s i n – M i l w a u k e e
Student’s Name: __________________________________________________________________________________
Home Address: ____________________________________________________________________________________
City: ______________________________________________________________________________________________
State: _____________________________________________________________________________________________
Zip: _______________________________________________________________________________________________
Phone: ____________________________________________________________________________________________
Email: _____________________________________________________________________________________________
Date of Birth: ______________________________________________________________________________________
Nationality:________________________________________________________________________________________
High School Attending: ____________________________________________________________________________
Current Grade Level: ______________________________________________________________________________
Graduation Year: _________________________________________________________________________________
Majors of Interest: _________________________________________________________________________________
GPA: _____________________________________________________________________________________________
Please list math courses you are or have taken in high school :
___________________________________________________________________________________________________
___________________________________________________________________________________________________
1. Parent / Guardian Names, Home Address, Daytime & Evening Phone Numbers
___________________________________________________________________________________________________
(Name)
___________________________________________________________________________________________________
(Home address)
___________________________________________________________________________________________________
(Daytime Phone Number)
(Evening Phone Numbers)
2. Parent / Guardian Names, Home Address, Daytime & Evening Phone Numbers
___________________________________________________________________________________________________
(Name)
___________________________________________________________________________________________________
(Home address)
___________________________________________________________________________________________________
(Daytime Phone Number)
(Evening Phone Numbers)
Special Accommodations (interpreter, wheelchair accessible, dietary, roommate request, etc.):
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
T-shirt size (our t-shirts are women’s shirts and the sizes run smaller than regular t-shirt sizes):_____________
To help us make roommate assignments, please write in your preference:
I prefer a nightly lights-out time of ________
Please contact Chris Beimborn at [email protected] to discuss any special accommodations.
Parent/Guardian Signature
I, ______________________________, give permission for__________________________ to attend the Summer
(Print Parent/Guardian name)
(Print Camper’s name)
UWM CEAS Girls EnQuest Camp. If she is accepted, I will complete her medical and emergency
information form, ensure that she has safe transportation to and from the camp, and pay the $275
camp fee. I give permission for her name, photograph and engineering work to be used in camp
publicity and records. I give permission for her to participate in Camp field trips.
Signature
Date
I have enclosed a check for $50, payable to UWM
Please mail this form and your check (made payable to UWM):
Chris Beimborn, EnQuest Coordinator
College of Engineering and Applied Science
University of Wisconsin-Milwaukee
PO Box 784
Milwaukee, WI 53201-0784
Should your summer plans change so that you become unable to attend EnQuest,
please notify UWM as early as possible so that another interested participant can be
accommodated.