devKit 2010 Application

Please fill out this form completely and mail to:

	devKit 2010 Application
	234 Harriet St.
	South Portland, ME 04106
Student Information

Name: _________________________________________________________________

Phone #1: ( ___ )  ___ - ______                 Phone #2:  ( ___ )  ___ - ______

Email: ______________________ @ ________________________________________

Age: _____________             H.S. Grade Completed: __________________________

Dietary / Health Notes:

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Parent Information

Name: _________________________________________________________________

Phone #1: ( ___ )  ___ - ______                 Phone #2:  ( ___ )  ___ - ______

Email: ______________________ @ ________________________________________

Parent or Guardian Consent
I acknowledge that my child is registering for a two week computer programming workshop taking place in Portland, ME from July 10th 2010 through July 24th 2010, Saturday-Sunday, 10am-4pm.  

If accepted, I agree to arrange transportation for my child to and from the workshop each day.

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Coursework Information
Please list courses you will have completed by the end of the 2007/2008 school year that you feel are relevant.  Examples include courses in Math, Creative Writing, Art, Computer Programming, Web Design, etc.

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Personal Reference Information
You may optionally list the name and contact information of a teacher or other personal reference who we may call to discuss your application.

Name: _________________________________________________________________

Phone: ( ___ )  ___ - ______        

Email: ______________________ @ ________________________________________

Written Questions

What do you think is the most interesting thing a computer is capable of doing?  

What is your favorite game (computer or otherwise), and why?  Describe one improvement you would make.

What is something cool you created in the last year?

Describe any computer programming experience you have.  Please note that prior experience is not a requirement!