Tarrant County College South Campus Pre-freshman Engineering Program PREP Year 1-4 Application

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1 Come to PREP and discover, learn, grow, make new friends, prepare for high school, experience college life, and explore possible careers. WHAT IS PREP? PREP is a mathematics-based, academic enrichment program. It emphasizes the development of abstract reasoning and problem solving skills. PREP helps students prepare for careers in the fields of mathematics, science, technology, and engineering. The program includes course work, team projects, class presentations, examinations, career awareness speakers, field trips, and special events. PREP is presented over the course of three summers. Students can reapply each year. High school elective credit is awarded by school districts for the successful completion of PREP. Courses for Year 1- Logic and its Applications to Mathematics, Introduction to Engineering, Problem Solving, Career Awareness Seminars, Research and Study Time, and Special Events. Courses for Year 2-Algebraic Structures, Introduction to Physics, Problem Solving, Research, Study Time, and Special Events. Course for Year 3-Probability and Statistics, Problem Solving, and Technical Writing Course for Year 4 Computer Science, Problem Solving, and Water Science Who: When: Where: Cost: Requirements: Tarrant County College South Campus Pre-freshman Engineering Program PREP Year 1-4 Application 100 new middle and high school students from the Arlington/Fort Worth Area are expected to enroll. Members of minority groups are especially encouraged to apply. June 13 July 28, 2011 (Monday Thursday) Year 1, 2, 3. And 4 PREP site: South Campus Most schools provide funding for their students to participate; please see your school counselor for details. The number of participants accepted depends upon contributed in-kind and financial support from public and private agencies. For grades 6, 7 & 8 For grades 9, 10, & 11 Parental permission Parental permission 85 in mathematics class (80 or better if in 85 in mathematics class (80 or better if in honors or honors or advanced placement) advanced placement) 85 or better in science or English (80 or better if 85 or better in science or English (80 or better if in in honors or advanced placement) honors or advanced placement) Must be in good standing in all courses Must be in good standing in all courses Two satisfactory nominations (Year 1 Only) Two satisfactory nominations (Year 1 Only) Satisfactory conduct grades Satisfactory conduct grades A well-written essay A well-written essay Course requirements to be completed by June 2011: * 8 th grade students, at least Pre-Algebra * 9 th grade students, at least Algebra I *10 th grade students, at least two of the following: Algebra I, Algebra II, or Geometry IMPORTANT: Make sure your application is complete and mailed in early! Deadline is May 13, 2011 to apply online at or to submit an application. Questions? Call (817)

2 IMPORTANT TIPS To have the best chance of being accepted be sure to do the following: Read the information on PREP. Be sure you are willing to fully commit to the program and make sure you have permission from your parent or guardian. Before completing the application, research and discuss transportation arrangements with your parents. Submit your application on time. The application must be postmarked on or before May 13, Send it early if possible site assignments are decided on a "first-come, first-serve" basis. Review your application packet to ensure that you have included the following items (your application will NOT be processed until it is complete): I. APPLICATION II. CURRENT REPORT CARD Submit a copy of your current report card; no handwritten, no web based, and no progress reports are accepted. IT MUST: 1. List the school district you live in under the Current School Information, even if you attend a private school or are home-schooled. 2. Make sure one of your parents, or your guardian, signs in the designated areas. Your application is incomplete without their signature. 1. Include information on conduct. 2. Indicate if any of your courses are honors classes, pre AP, or advanced placement. 3. Submit an official copy no hand-written, no web based, and no progress reports are accepted. -If you have lost your report card, ask your Guidance Counselor for a duplicate, on letterhead and signed by the Counselor or Principal. Conduct and honors or advanced placements must be listed. -If you are not currently taking a math or science course, you must also include an official transcript from your school. Once completed, keep a copy of the application packet for your records. Staple application packet, essay, nomination forms and your report card together and mail on or before the postmarked date of May 13, 2011 you can expect to hear from us no later than May 15, 2010 on the status of your acceptance. If you have any questions, please call us at (817) Note: You now have the option to submit an application online at through May 13, If an application is submitted online, a confirmation page must be printed, signed, and mailed along with the essay, nomination forms, and a copy of the most recent report card to: ATTN: PREP/Donnie Willis Year 1,Year 2, Year 3 or Year 4 application, 5301 Campus Drive, Fort Worth, TX TRANSPORTATION INFORMATION Parents or Independent School Districts are responsible for students transportation. PRIVACY NOTICE With a few exceptions, you are entitled to be informed about the information Tarrant County College collects about you. Under Sections and of the Texas Government Code, you are entitled to receive and review this information. Under Section of the Texas Government Code, you are entitled to have Tarrant County College correct information about you that is held by us and that is incorrect, in accordance with the procedures set forth in the University of Texas System Business Procedures Memorandum 32. The information that Tarrant County College collects will be retained and maintained as required by Texas records retention laws (Section et seq. of the Texas Government Code) and rules. Different types of information are kept for different periods of time.

3 Tarrant County College Pre-freshman Engineering Program YEAR 1-4 PREP Application DIRECTIONS 1. Print clearly in black or blue ink. Do not use a pencil. 2. Be sure to answer all questions. 3. Remember your parent/guardian s signature. 4. Deadline: Postmarked on or before May 13, Don t miss it! 5. Mail your complete application packet, essay, nomination forms, and a copy of your most recent report card to: Tarrant County College South Campus Attn: PREP/Donnie Willis Year 1-4 PREP Application 5301 Campus Drive Fort Worth, TX SITE INFORMATION Talk to your parents. Check out bus routes, carpooling, or other transportation. Then, check which PREP year you are attending. PREP anticipates that the following campus will serve as a host for Year 1 thru 4 PREP: South Campus PREP Year 1 PREP Year 2 Prep Year 3 Prep Year 4 PERSONAL INFORMATION Legal Name: Last First Middle Initial Gender: Male Female Date of Birth / / Ethnicity: ( ) American Indian ( ) Anglo ( ) African American ( ) Hispanic ( ) Asian/Other Mailing Address City State Zip Home Phone ( ) Do you have a parent (biological or adoptive) that has completed their associate s or bachelor s degree? ( ) yes CURRENT SCHOOL INFORMATION Grade Level: Full Name of School Public School District You Live In ( ) no Applicants are accepted regardless of race, color, national origin, religion, gender or disability. FOR OFFICE USE ONLY RECEIVED INIT. COMPLETE / INCOMPLETE MATH / INCOMPLETE CODES: ( ) A ( ) E ( )G ( ) N SCIENCE / DATE COMPLETED: / / ENGLISH / INIT. AVERAGE NOM. ESSAY: YES / NO CONDUCT ACCEPT: BY: School Code / / Council District -CD Census Tract.

4 PARENT / GUARDIAN INFORMATION Name Relationship Mailing Address (if different from applicant): Home Phone ( ) Work Phone ( ) Extension Cell Phone ( ) Pager ( ) Address Does child reside with you? Yes No N/A EMERGENCY CONTACT INFORMATION Name Relationship Mailing Address (if different from applicant): Home Phone ( ) Work Phone ( ) Extension Cell Phone ( ) Pager ( ) PARENT / GUARDIAN'S PERMISSION Please initial to show your agreement with each of the following statements: I am the parent/legal guardian of the student named above. I understand that PREP is a rigorous and demanding program that requires the ability and motivation to complete complex class work and homework above and beyond standard school instruction. I give permission for my child to attend PREP. I understand that my child must attend PREP every weekday from June 13 to July 28, (Monday Thursday) I also understand that she/he will have homework daily. I understand that there is a maximum of THREE excused absences, for illness or bereavement only. I understand that my child must strictly follow all PREP and host institution rules. I understand that PREP has a zero tolerance policy on a child s noncompliance with all PREP and/or host institutions rules and policies. In the event of a rule/policy violation, the site director may dismiss the child from the program. Some examples of rule violations include: cheating, plagiarism, leaving campus without permission, damaging property, and physical violence, setting off fire alarms, or repeated patterns of less serious violations. Parent/Guardian Signature Student's Signature I understand that I am responsible for my child s transportation arrangements. ESSAY On a separate piece of paper, please print in ink or type the essay for the following: PREP 1: A word essay stating why you want to participate in the program. PREP 2 Prep 3 and PREP 4: A 300-word essay stating in what ways your participation in Year 1 PREP, Year 2 Prep and/or Year 3 PREP was helpful to you, what you expect to gain from your participation, and how you plan to contribute to the program. Include your academic and/or career goals and how PREP can help you accomplish these goals. ACTIVITIES / SPECIAL PROJECTS On a separate piece of paper, list any activities or special projects you have completed in mathematics or science. (For example: honors gifted or advanced classes, science fairs, clubs or competitions, etc.) Date Date

5 TARRANT COUNTY COLLEGE PRE-FRESHMAN ENGINEERING PROGRAM (PREP) MATHEMATICS TEACHER NOMINATION FORM YEAR 1-4 APPLICATION DIRECTIONS: Please return this form to the student upon completion. It must be attached to the rest of their application and mailed to PREP on or before May 13, PART 1 - TO BE COMPLETED BY APPLICANT Full Legal Name: LAST FIRST MI Current Grade Level: School Attending School District PART 2 - TO BE COMPLETED BY THE MATHEMATICS TEACHER PREP is a rigorous and demanding program designed for motivated students with the ability to successfully learn and complete complex class work and homework above and beyond standard school instruction. He/she is being considered for admission to PREP. Please give us your honest assessment of this student s desire and ability to learn. This demands working hard in class every weekday for an average of 5 to 6 hours from June 13 July 28, 2011, and includes homework. A. PLACE AN "X" IN THE APPROPRIATE COLUMN FOR EACH CHARACTERISTIC LISTED. ACADEMIC PERFORMANCE CONDUCT IN CLASS WILLINGLY PARTICIPATES IN CLASS RESPECTS OTHERS AND THEIR PROPERTY ABILITY TO FOLLOW INSTRUCTIONS COMPLETES ASSIGNED WORK ON TIME ANALYTICAL THINKING SKILLS MATURITY PUNCTUALITY EAGER TO LEARN NEW THINGS CHARACTERISTIC EXCELLENT GOOD FAIR POOR STUDENT IS SUFFICIENTLY MOTIVATED TO COMPLETE A 7 TO 8-WEEK SUMMER PROGRAM B. Please provide comments on motivation, behavior, personality, strengths or weaknesses that you feel are pertinent to the student s performance in PREP. If the student fails to satisfy some academic requirements, please explain in detail. Additional comments may be written on the back. C. Current course you are teaching applicant TEACHER'S PRINTED NAME/TITLE SCHOOL TELEPHONE NUMBER TEACHER'S SIGNATURE DATE

6 TARRANT COUNTY COLLEGE SOUTH CAMPUS PREFRESHMAN ENGINEERING PROGRAM (PREP) NOMINATION FORM (SCIENCE TEACHER, ENGLISH TEACHER, OR COUNSELOR) YEAR 1-4 APPLICATION Directions: Please return this form to the student upon completion. It must be attached to the rest of their application and mailed to PREP on or before May 13, PART 1 - TO BE COMPLETED BY APPLICANT Full Legal Name: LAST FIRST MI Current Grade Level: School Attending School District PART 2 - TO BE COMPLETED BY THE SCIENCE TEACHER, ENGLISH TEACHER, OR COUNSELOR. PREP is a rigorous and demanding program designed for motivated students with the ability to successfully learn and complete complex class work and homework above and beyond standard school instruction. He/she is being considered for admission to PREP. Please give us your honest assessment of this student s desire and ability to learn. This demands working hard in class every weekday for an average of 5 to 6 hours from June 13 July 28, 2011, and includes homework. A. PLACE AN "X" IN THE APPROPRIATE COLUMN FOR EACH CHARACTERISTIC LISTED. ACADEMIC PERFORMANCE CONDUCT IN CLASS WILLINGLY PARTICIPATES IN CLASS RESPECTS OTHERS AND THEIR PROPERTY ABILITY TO FOLLOW INSTRUCTIONS COMPLETES ASSIGNED WORK ON TIME ANALYTICAL THINKING SKILLS MATURITY PUNCTUALITY EAGER TO LEARN NEW THINGS CHARACTERISTIC EXCELLENT GOOD FAIR POOR STUDENT IS SUFFICIENTLY MOTIVATED TO COMPLETE A 7 TO 8-WEEK SUMMER PROGRAM B. Please provide comments on motivation, behavior, personality, strengths and weaknesses that you feel are pertinent to the student s performance in PREP. If the student fails to satisfy some academic requirements, please explain in detail. Additional comments may be written on the back. C. Current course you are teaching applicant TEACHER'S PRINTED NAME/TITLE SCHOOL TELEPHONE NUMBER TEACHER S SIGNATURE DATE