LEAD Summer Engineering Student Application Form

WHO SHOULD APPLY?
Candidates in their sophomore or junior year of high school with a 3.2 average or better and combined test scores of at least 100 on the PSAT, 1000 on the SAT (critical reading and math combined), or 22 on the ACT. Candidates are required to have successfully completed a minimum of two sciences and Algebra II. Candidates must be US Citizens or permanent residents to be eligible.

APPLICATION INSTRUCTIONS: Please download the attached document located at the bottom of the application. Read the online application checklist carefully and make sure you answer all required questions fully. LEAD will only review candidates who submit the online biographical questionnaire, your education sheet, two essays, two academic recommendation forms, the $35 administrative fee, and an official high school transcript. It is your responsibility to ensure that LEAD receives all requested materials by January 25, 2010.

» SECTION A: YOUR INFORMATION
Last Name
First Name
Middle Initial
Address
City
State
ZIP Code
Phone Number
 Including area code.
E-Mail Address
 This acts as your Username.
Password
Re-type Password
Date of Birth YYYY-MM-DD
 Open Calendar
Gender
Are you a US Citizen?
If not a US citizen what is your:
Country of Origin
Permanent Resident #
Please select the best describes your ethnic background:

  Specify:





  Specify:
  Specify:
  Tribe:    Tribal Registration #:
Specify:
From whom did you learn about this application?

    Specify:

    Specify:
» SECTION B: YOUR EDUCATION
Name of High School
Current Grade
Name of Counselor/Advisor
Have you taken any of the following courses? (please check all that apply)
8th Grade 9th Grade 10th Grade 11th Grade
Math:
Algebra
Geometry
Pre-Algebra
Other:
AP
Honors
Algebra
Algebra II
Geometry
Other:
AP
Honors
Algebra II
Geometry
Trig/Pre-Calculus
Other:
AP
Honors
Pre-Calculus
Calculus A/B
Calculus B/C
Other:
AP
Honors
Science:
Biology
Life Science
Physical Science
Other:
AP
Honors
Biology
Physical Science
Chemistry
Other:
AP
Honors
Biology
Chemistry
Physics
Other:
AP
Honors
Biology
Chemistry
Physics
Other:
AP
Honors
» SECTION C: YOUR ACTIVITIES/WORK EXPERIENCE
List below those school and community activities that are most important to you, listing any offices held and leadership roles first. Please be sure to note any memberships in science, technology and engineering organizations.
Activity Grade Level Hours per week Position Held/Honors Won
Employment
Employer Job Title Start Date End Date Hours per Week
» SECTION D: YOU AND YOUR FAMILY
Your parents’ marital status





Your siblings
Numbers of Brother(s)
Brother(s) ages
Numbers of Sister(s)
Sister(s) ages
Enter the name(s) of the parent(s) or legal guardian(s) with whom you live
Enter the name of any family member who participated in the LEAD program
Last Name
First Name
Year
Parent/Guardian/Other
First Name
Middle Initial
Last Name
Relationship to the Applicant (You)
Email Address
Home Address
City
State
ZIP Code
Home Telephone No.
Employer
Occupation/Title
Business Telephone No.
Highest Grade Completed
Name of College (if any)
Degree/Certificate Earned (if any)
Parent/Guardian/Other
First Name
Middle Initial
Last Name
Relationship to the Applicant (You)
Email Address
Home Address
City
State
ZIP Code
Home Telephone No.
Employer
Occupation/Title
Business Telephone No.
Highest Grade Completed
Name of College (if any)
Degree/Certificate Earned (if any)
» SECTION E: THE ESSAYS
All candidates are required to submit two original essays. Each essay may be up to 500 words in length. You may paste your essays in the spaces provided below.
Please paste a copy of a recent article about a energy or technology issue or problem that interests you and write a recommendation or solution, with explanation.
In reading your application, we want to get to know you as well as we can. There's a limit to what grades and test scores can tell us so we ask you to write a personal statement.

Your personal statement is your chance to tell us who you are and what's important to you. Think of it as your opportunity to introduce yourself to the committee members reading your application. Be open, be honest, be real. What you tell us in your personal statement gives readers the context to better understand the rest of the information you’ve provided in your application. In your essay, please address the following questions:

1. In describing yourself to the committee, what unique personal and or academic qualities will you bring as a participant to the LEAD program?
2. What have you done beyond the classroom that furthers your knowledge of technology?
3. What are your career goals? How might attending a LEAD SEI support these goals?
In order to complete your application, the your education sheet, two academic recommendation forms, an official high school transcript, (and the $35 administrative fee, check or money order payable to LEAD Program, 14 East Hartwell Lane, Philadelphia, PA 19118) must accompany each candidate's application to LEAD.

Please download and print the attached document below.

CLICK ON THIS DOCUMENT TO DOWNLOAD:
SEI Application Documents SEI Recommendation Forms
It is your responsibility to ensure that LEAD receives all requested materials by January 25, 2010

If you have any questions please email leadsei@leadprogram.org or call 215-753.2490.