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The University of Tennessee

College of Engineering

Frequently Used Tools:




Engineering Diversity Pre-College Summer Programs Application

Applicant for (please select one):

Middle School Introduction to Engineering (MITE)--for currently enrolled 6th and 7th graders.

Introduction of Sophomores to Engineering Principles (INSTEP)--for currently enrolled 8th and 9th graders.

High School Introduction to Engineering Systems (HITES)--for currently enrolled 10th and 11th graders.

Personal Information:

First Name:       Middle Name:       Last Name:

Address 1:

Address 2:

City:     State: (2 letter code)     Zip Code:

Birthdate: mm/dd/yy

Gender: Male     Female             U.S. Citizen: Yes     No

Race: Alaskan Native     African-American     American Indian (Tribal ID#)

Race: Pacific Islander     Hispanic/Latino       Other (Specify)

Contact Information:

E-mail:     Phone: (xxx) xxx-xxxx

Parent/Guardian:     Work Phone: (xxx) xxx-xxxx

School Information:

Current GPA:     Classification:

Name of School:     Phone:

Address of School:

City:     State: (2 letter code)     Zip:

Guidance Counselor:     E-mail:

Math and Science courses completed and currently taking with final or semester course grade:

Class: Grade:

Class: Grade:

Class: Grade:

Class: Grade:

Class: Grade:

Class: Grade:

Interests:

Engineering
Math
Government

Medicine
Physics
Education

Law
Computer Science
Design

Science
Social Work
Other:

Do you plan to attend college?   Yes     No     Not Sure

Why are you interested in attending this program?

Thanks for your interest in The University of Tennessee College of Engineering.
We will follow up on your appplication as soon as possible.

Privacy Statement: The UT College of Engineering respects the privacy of visitors while you are visiting our website. We do not collect personal user information about our visitors without their knowledge. No information made available to outside agencies or companies.

In accordance with the Family Education Rights and Privacy Act, UT provides for the confidentiality of student records. However, it also provides for basic identification of persons at UT without the consent of the individual. Release of information to third parties includes directory information such as contained in the campus telephone book and sports brochures. However, you have the right to refuse to permit the University to disclose directory information. If you wish to have all public/directory information excluded as public information, you must notify the Office of Enrollment Data Services, 212 Student Services Building, no later than 4:00 p.m. on the fourteenth calendar day of the term beginning with the first day of classes.

EEO/AA/ADA: The University of Tennessee does not discriminate on the basis of race, sex, color, religion, national origin, age, disability or veteran status in provision of educational programs and services or employment opportunities and benefits. This policy extends to both employment by and admission to the University.

The University does not discriminate on the basis of race, sex, or disability in its education programs and activities pursuant to the requirements of Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act (ADA) of 1990.

Inquiries and charges of violation concerning Title VI, Title IX, Section 504, ADA or the Age Discrimination in Employment Act (ADEA) or any of the other above referenced policies should be directed to the Office of Equity and Diversity (OED), 1840 Melrose Avenue, Knoxville, TN 37996-3560, telephone (865) 974-2498 (V/TTY available) or 974-2440. Requests for accommodation of a disability should be directed to the ADA Coordinator at the UTK Office of Human Resources, 600 Henley Street, Knoxville, TN 37996-4125.

The University of Tennessee, Knoxville, in its efforts to ensure a welcoming environment for all persons, does not discriminate on the basis of sexual orientation in its campus-based programs, services, and activities. Inquiries and complaints should be directed to the Office of Equity and Diversity.