YOUNG BRAINPORT SUMMER SCHOOL

Transcription

1 APPLICATION PACKAGE IMPORTANT DATES Application deadline April 8, 2016 at 23:59 CET (GMT+1) Successful applicants notified April 26, 2016 Acceptance packages deadline for May 13, 2016 selected students Young Brainport Summer School 2016 August 27 to September 3, 2016 HOW TO APPLY A completed application package will consist of the following: Personal information form Extracurricular activities Essay I am the perfect candidate for the Young Brainport Summer School! Teacher assessment o Student ranking evaluation o Written assessment Official transcript or Report of marks / Official exams (secondary school transcripts only) Proof of citizenship (copy only of either birth certificate or passport) Parental consent form SUBMISSION GUIDELINES Follow these guidelines when submitting your application package: The completed application package must be SUBMITTED TOGETHER in the order above. Application packages received otherwise will not be considered. Your application must be typed. Your name, and country must be included in the top right hand corner of all pages of the application package (handwritten here is acceptable). Do not include any extra pages, copies of awards, covers or photos with your package. The completed application package needs to be send in one PDF file by to ybss@brainportdevelopment.nl before April 8, 2016 at 23:59 CET (GMT+1). Please mention Application YBSS + your name in the subject of the . After submission of your application, a confirmation will be send to you within 48 hours. Failure to comply with all submission guidelines will result in application being disqualified. 1

2 PROGRAM INFORMATION Dates Young Brainport Summer School 2016 will be held from August 27 to September 3, Location Young Brainport Summer School 2016 will take place in Eindhoven (in the Netherlands) and surroundings, better known as the Brainport Eindhoven Region. Young Brainport Summer School The Young Brainport Summer School challenges and enriches students who have a keen interest in (applied) physics through high-level theory, hands-on exercises and experiments, and social activities. The Summer School gives students the opportunity to work with renowned professors and business leaders in the field of applied physics and pays special attention to the application of the theory by visiting knowledge- and research institutes, labs and companies. The students will be actively guided throughout the week, and live together as a group, so as to create an experience of a lifetime. Note: As the summer school will be conducted in English, applicants are expected to be fluent at speaking and writing in this language. Program Costs The program fee is 350 (excl. VAT) payable upon acceptance into the program. Students may wish to bring spending money for souvenirs or additional snacks. Travel Costs DUTCH students accepted need to fund their transportation costs themselves. Hence, ground transportation to and from the accommodation of the summer school will not be covered. INTERNATIONAL students accepted must fund their own return airfare from their home country to Schiphol Airport and purchase appropriate travel/health insurance. Ground transportation to and from the airport to the accommodation of the summer school will be provided by the organisation of the summer school. ELIGIBILITY Students are welcome to apply if they: Have a passion for and strong ability in physics and mathematics as reflected in high school course grades and extracurricular activities. Have a keen interest in technological developments. Are currently in the final two years of secondary school and have not yet begun full-time studies at a post-secondary institution.* Intend to pursue studies in (applied) physics at the university level in the future. As the summer school will be conducted in English, applicants are expected to be fluent at speaking and writing in this language. *The recommended age for this program is years. However, students who fall outside of this age range may still apply and will be considered. 2

3 PART 1: PERSONAL INFORMATION FORM DUTCH APPLICANT INTERNATIONAL APPLICANT Citizenship: PERSONAL INFORMATION First name: Last name: Street address: City: Postal/Zip code: Province/State: Phone: Cell or mobile: Current grade level: Age: Gender: for accommodation How did you hear about the Young Brainport Summer School 2016? Female Date of birth: dd/mm/yyyy Male LANGUAGES My ability to speak English is: My ability to read English is: Languages spoken: Strong Moderate Weak Strong Moderate Weak 3

4 SCHOOL INFORMATION School name: City: Province/state: 4

5 PART 2: EXTRACURRICULAR ACITVITIES Please list any extracurricular activities, related work experience and hobbies in which you are involved (for example, clubs, athletics, music, student, government, volunteer activities, etc.). Please limit the list to activities that have occurred in the last two years. Attach a separate sheet, if necessary. 5

6 PART 3: ESSAY I AM THE PERFECT CANDIDATE FOR THE! Please write a short essay (of 350 words or less) discussing the following: - Your interest and general knowledge level in physics and mathematics; - Explanation of what fascinates you about technological developments; - Relevant courses you have taken in high school, popular science books or articles you have read, extra-curricular activities such as physics or mathematics clubs, science fairs and any other self-directed learning you have undertaken to further your understanding of (applied) physics; - Other interests and activities you pursue, outside of physics, that demonstrate breadth of character; - What you hope to learn or gain from attending the Summer School and your plans for the future, including plans for postsecondary education (e.g. where do you see yourself in 5 years? 10 years?) 6

7 PART 4: TEACHER ASSESSMENT The Young Brainport Summer School is an exciting and challenging one-week program for Dutch and international high school students with a keen interest in physics and who intend to pursue (applied) physics studies at the university level. The program takes place from August 27 to September 3, 2016 in the Brainport Eindhoven Region, the Netherlands. For more information about Brainport or the program of the Young Brainport Summer School 2016, please visit SUBMISSION GUIDELINES This form is to be completed by a teacher, or other school official (such as a principal, or guidance counselor) who is familiar with the applicant and his or her work and will act as referee. The teacher assessment consists of both a student ranking assessment and a written assessment. Please be sure to print the name of the student being assessed and to sign and date this report in the spaces provided. All information provided by you or the school will be used solely for the purposes of selecting students for the Young Brainport Summer School The student applicant will submit this assessment, together with the completed application package, via no later than April 8, STUDENT INFORMATION First name: Last name: TEACHER INFORMATION First name: Last name: Position: 7

8 SCHOOL INFORMATION School name: Street address: City: Province/State: Postal code/zip code: School phone: School enrolment ( of students) for 2015/2016 Name of Principal: Name of Head of Science: STUDENT RANKING ASSESSMENT For each of the following questions, please rank the students against all other students you have encountered in your career, and check the appropriate box. 1. How would you rate the applicant s ability to think creatively and independently? Top 25% Top 10% Top 1% 2. How would you rate the applicant s industriousness and ability to motivate himself or herself? Top 25% Top 10% Top 1% 3. How would you rate the applicant s level of curiosity and interest in the areas of physics and mathematics? Top 25% Top 10% Top 1% 4. How would you rate the applicant s academic ability in the areas of physics and mathematics? Top 25% Top 10% Top 1% 5. How would you rate the applicant s academic ability in non-scientific subjects, such as history or music? Top 25% Top 10% Top 1% 8

9 6. How well do you know the applicant? In passing Well 1 year in class Very well 7. Is the applicant pursuing (applied) physics in university? Yes No I do not know TEACHER WRITTEN ASSESSMENT Please include a separate letter of written assessment, on official school letterhead, commenting on the following (max. 350 words): - Is there anything special or outstanding about the applicant that we should know? - Does she or he especially impress you as being extraordinary? - How strong is his or her interest in and motivation for physics and mathematics? - How strong is his or her interest in new technological developments? Signature of School Official Date 9

10 PART 5: ADDITIONAL INFORMATION OFFICIAL TRANSCRIPT OF MARKS Please provide an Official Transcript of Marks/Report of Marks for Secondary School only. PROOF OF CITIZENSHIP Please provide a PHOTOCOPY of either a Birth Certificate or Passport. 10

11 PART 6: PARENTAL CONSENT FORM WAIVER OF LIABILITY In signing this form, the applicant and parent/guardian agree to release Brainport Development from any claim or action of any kind whatsoever for damages, loss, injury or death which may occur as a result of participation in the Young Brainport Summer School 2016 program, staying in residence at the accommodation and/or participating in any of the on-site or off-site activities. CONDITIONS OF PARTICIPATION The Young Brainport Summer School requires a full one-week commitment including all evenings and weekends. The organizers and your fellow students will be relying on your full attention, participation and cooperation. By submitting this application you are granting Brainport Development permission to publish any of your work (e.g. excerpts from the program evaluation form) and any photographs or video taken during the summer school. Publish refers to Brainport s website and/or other promotional materials for non-commercial purposes. You are also agreeing to refrain from conduct injurious to the morale or safety of others and you are acknowledging that consumption of alcohol or illegal drugs is strictly prohibited. Finally, you are agreeing that you will participate fully in the program and attempt all the work (e.g. problems and homework) that forms part of the summer school to the best of your ability for the duration of the summer school. Any failure on the part of the student to adhere to the above may result in expulsion of the student from the program at the full expense of the parent/guardian. Signature of Applicant Date Signature of Parent/Guardian Date PARENTAL ENDORSEMENT I have read the application, which is made with my approval. To the best of my knowledge, the information in this application is true and complete. Name of parent/guardian: Daytime phone: Evening mobile: Signature of Parent/Guardian Date 11

12 MEDIA RELEASE If accepted, I consent to have Brainport Development release my child s name, city and country to regional and international media to help further promote this program. Granting or refusing this permission will not influence whether or not your child is accepted into the program and you may change your response at any time. Signature of Parent/Guardian Date 12