Fenn Academy - Engineer For A Day Program

Engineer For A Day Program - 2015
Fenn Academy

2015 NATIONAL ENGINEERS’ WEEK
“ENGINEER-FOR-A-DAY” JOB SHADOWING PROGRAM STUDENT REGISTRATION PAGE

For any questions or concerns, contact Gregg Schoof
EMAIL: g.schoof@csuohio.edu      PHONE:   (216) 687-5272

LAST DATE OF REGISTRATION:  Friday, January 23, 2015

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Fill in all the mandatory sections to complete your registration.

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Male Female
Freshman Sophomore Junior Senior
List below the three engineering area(s) in which you are most interested: (Mechanical, Electrical, Computer, Chemical/Biomedical, Civil/Environmental, Mechanical Tech or Electronic Tech) The final match that is made will depend on the availability of sponsors. Efforts will be made to place students close to home, if possible.
To learn more about engineering fields visit the American Society of Engineering Education (ASEE) at: www.egfi-k12.org **Transportation: Students are responsible for providing their own transportation to and from this event.** Students may not accept rides to or from home or school from anyone other than family members due to liability and safety considerations.

PERMISSION TO PARTICIPATE

By signing below the student certifies that he/she will participate in the “Engineer-For-A-Day” Program and that he/she will make all arrangements necessary, including obtaining permission from his/her high school to participate in this event. Parents and school representatives must grant permission for the student’s participation. Signatories agree to save and hold harmless Cleveland State University (CSU) and the Washkewicz College of Engineering, the Fenn Academy, the trustees, officers and employees and agents of CSU and the Fenn Academy, their partner agencies and companies, funding providers, representatives and employees from loss, cost or liability with respect to a child’s participation in Engineer-For-A-Day, except to the extent that such loss, cost or liability is attributable to the negligent actions of the participating entities cited herein or their trustees, officers, employees or agents while acting in the course of their employment, as set forth in Ohio Revised Code, Section 2743.02. I agree that program officials have my permission to allow emergency medical personnel attend to my child, if necessary, and that I will pay for any emergency treatment, including emergency transportation.

I accept and agree.

Please list any important medical or dietary information, including medications that your child is currently taking that may be of importance to medical officials. Also, list any allergies to food or medications that may be life threatening:

ALL INFORMATION BELOW MUST BE PROVIDED TO PARTICIPATE IN THIS EVENT.
 

 
engaged learning
Mailing Address
Washkewicz College of Engineering
Cleveland State University
2121 Euclid Ave., FH 104
Cleveland, Ohio 44115-2214
Campus Location
Fenn Hall Room 104
1980 East 24th Street
Phone: 216.687.2555
Fax: 216.687.9280
engineering@csuohio.edu
Web Only: Contact
Phone: 216.687.6970
Fax: 216.687.9280


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