patth@ccnysci.UUCP (Patt Haring) (02/08/89)
APPLICATION
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Name: Area code & phone:
Address:
City: State/ZIP:
Any electronic mail address(es):
Date of birth: Grade in school:
Languages you've studied and how long:
Other languages you know:
In order to bring a representative American group, affirmative action will be
practiced. Do you belong to any "minority" group?
_______________________________________
If you already have a passport, what is its number and expiration date?
No.____________________________ Expires: ______________________
Take as much space as you need for the following answers.
I can (mark the answers and add other items if you wish):
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/_/ Draw a picture of ________________
/_/ Play (musical instrument)__________
/_/ Sing /_/ Write a poem /_/ Construct a radio set
/_/ Sail /_/ Solve a cubic equation
Other:
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I like (mark the answers and add other items if you wish):
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/_/ Mathematics /_/ Physics /_/ Biology /_/ Engineering
/_/ Music /_/ Languages /_/ History /_/ Journalism
/_/ Arcade games
Other:
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Computer experience, if any:
I have a ______________________ computer at home.
I use a _______________________ computer at school.
Other computer access:
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Do you have access to communication by computer (modem & software)?
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Operating system(s) I can work with:
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Software I'm acquainted with:
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Programming language(s) I know:
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Programs (type, size) I've written:
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Clubs, BBS, camps, other computer-oriented activities in which I've
participated.
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Reading: Newspapers and magazines Iread regularly or to which I subscribe; books
I've enjoyed.
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My favorite pieces of art (including literature, movies, music, architecture):
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Short Essays
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1) Pretend you are organizing this international camp. What are YOUR ideas
about the kinds of activities which should take place? Your suggestions should
deal both with what (and how) to learn about computers and with activities to
help young people from different countries to really get to know each other.
2) There will be less than four weeks to learn about the Soviet Union, a country
and people very important to us. What do you think are the MOST important
things to learn about in order to come home with a better understanding
(political systems, beliefs, social life, schools, etc.). Perhaps a good way to
think about this question is to imagine you will give a talk about your trip to
your friends or at school after you get home and have to plan what observations
to make. Since your friends can't make the trip, what things will itbe most
important for them to know?
3) Add any other information you wish about yourself and your interest in this
trip.
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Remember to send this application to arrive by 10 March to:
TEPC Travel Courses
681 W. Hancock
Detroit, MI 48201
or Compuserve 71450,1223 or PeaceNet efenster
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A $200 deposit payable to: TEPC Travel Courses
must arrive at the Detroit address by 10 March. Checks of participants will be
deposited; those from applicants who cannot be selected will be returned.
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Please give the name and address of a parent or guardian AND a teacher or other
person who knows you well and could send letters of reference.
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Patt Haring
rutgers!cmcl2!ccnysci!patth
patth@ccnysci.BITNET