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WICS High School Day Registration Form


Last Name
First Name
Email Address
High School
Grade
Guidance Counselor
Download and print the Parental Consent Form. Please fax to 215-898-0587 before April 2nd to confirm attendance.

1. Please order from 1 to 4, with 1 being your first choice, the class you would most like to attend at Penn on 4/2.
Introduction to Computer Graphics
Mathematics for Computer Science
Artificial Intelligence Underneath: How Google, Amazon and Facebook think about you!
Programming with Alice

2. Ethnicity (You may check more than one as appropriate)
African American Native American Asian/Pacific Islander Latin/Hispanic Caucasian

3. Check the grade that you are in now
9th 10th 11th 12th

4. I am considering a college major in (check all that apply)
Computer Science Engineering Math Biology, Chemistry, or Physics Other

5. Have you ever programmed before?

6. Check all of the following courses and clubs in which you have participated.
AP Computer Science Graphics/Web Design Robotics Other CS club AP Calculus AP Bio, Chemistry, or Physics None of the above

7. What is the highest level of formal education completed by your parents?
High school College/University Graduate/Professional Studies Other

8. Answer the following questions with yes or no
My father works in computer science and/or engineering. My mother works in computer science and/or engineering.

9. What do computer scientists or computer engineers do? ---------------------------------------------------------------------------------------- Directions: Read the following statements about what computer scientists or computer engineers might do and indicate your agreement with each statement.
Computer Scientists or Computer Engineers...
a. mainly work on machines and computers.
b. mainly work with other people to solve problems
c. work on things that help the world
d. can choose to do many different kinds of jobs
e. mainly work on things that have nothing to do with me
f. I don't know what computer scientists or computer engineers do
g. Other (please write in whole sentences

10. In your future, do you think you want to be a computer scientist or computer engineer?

11. If you encounter a math problem that you don't know how to solve, what are you most like to do. Check no more than 3 options below.
a. Ask a parent or other family member for help with the problem. b. Call a friend who is good at math and ask for help. c. Contact homework hotline or similar resource. d. Get help from your math teacher on this problem. e. Go to the teacher's web page for help. f. Just copy the answer from one of your friends g. Search the internet for help. h. Take some time and try to figure out how to best approach solving this problem.

12. Why did you choose to attend this activity. Check all that apply.
a. have fun b. Learn more about the University of Pennsylvania c. Learn about what computer scientists and computer engineers do d. Met others with interests similar to mine e. Have something to do f. Learn more about different majors in college g. Make my parents/guardians happy h. Prepare me to do well in school

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