Home phone:(      )____________    

Email:_______________________________     

Date of birth:_____/_____/______
                     MO     DAY    YEAR

Social Security Number:_______-_____-_______ (Needed to set up computer accounts.)

Present high school:_______________________________________________________ 

High School Phone:  (     )__________________

High school address:________________________________________________________

                           ________________________________________________________

Guidance counselor's name:_____________________________________________________

Principal's name:_________________________  Expected graduation date:______________

Who is writing your recommendation letter?  __________________________________________


What background do you have in using or programming computers?







About how often do you use a computer?




What do you most often use it for?









Have you taken any courses in computers? If so, describe the overall content.









Why are you interested in this computer science experience?













Do you have any concerns or limitations in participating in this program?







Deadline for Application: April 15, 2001
Send completed application, current transcript, and one academic recommendation to:
     Dr. Lori Pollock
     Summer Experience in CS for High School Women
     Dept of Computer and Information Sciences
     University of Delaware
     Newark, DE 19716

If you have questions about this application or need some additional help, please contact Dr. Lori Pollock at (302) 831-1953 or e-mail her at pollock@cis.udel.edu.