GEMS Application gems_app 2019 Step 1 of 3 - Part 1 0% Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Camper's Email*Campers will need this email to complete pre and post survey if selected to attend camp.Home Phone Number*Date of Birth* Current Grade (18-19 school year)*6th Grade7th Grade8th GradeRacial/Ethnic Group (optional)Asian or Pacific IslanderBlack, Non-HispanicHispanicNative AmericanWhite, non HispanicParent or Guardian Name* First Last Parent or Guardian Email* Work Phone*Have you ever applied to attend GEMS in the past?*YesNo Name of Current School*School District/City*What type of school do you attend?*PublicParochialPrivateHome SchoolCharterWhat grade level mathematics are you studying this year?*6th7th8th9thWhat grade level science are you studying this year?*6th7th8th9thHow do you use computers (surf the web, play games, write programs, word processing, etc.)?)*Have you done any programming or webpage development? Have you taken a computer class?*Have you participated in math or science programs outside of school ?*YesNoIf yes, to the previous question, please name the program. If No, please skip this question.Why would you like to participate in PennGEMS? (Please have the student answer this question without assistance!)*All Robotics track – Spend all week in the robotics lab learning about and playing with robots. Space in the robotics only track is limited. No prior robotics experience preferred. Are you interested in the Robotics only track?*YesNoPlease tell us about yourself by answering the following questions if applicable.Have you participated in a competition in school? Describe the competition.Have you participated in a competition outside of school? Describe the competition.List Academic Awards or Honors in school.List Academic Awards or Honors outside school.Have you participated in other academic summer camps? Name of program/sPlease add any other pertinent information about yourself. T-shirt size*Youth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-LargeHow did you hear about the GEMS program?*Teacher/Guidance Counselor.Family or Friend.Internet search.Parent works at Penn.Received a brochure in the mail.Family member is an alumnus/aReport Cards and Documents Please upload your last reported grades & classes and forms. Upload the following in PDF format: a copy of your report card Parent Permission Form Financial Aid Form (if applicable) File Upload:* Drop files here or Accepted file types: pdf, jpg.