Project Lead The Way Application Form

 

Student Information

ID Number      
First Name   Middle Name
Last Name   Address
City Zip
Date of Birth //   Email Address
Which Applied Tech courses have you taken?

(Hold CTRL to select more than one)

 School
Current year in school      
Current GPA      
         

Coursework Information

Gender Male          Female     
Highest Math Class Taken
Highest Science Class Taken
What other courses have you taken that pertain to engineering?

Essay Portion

Student Short Answer - Please answer the following two questions within the space provided below.  This is a major portion of the selection process.  Please review the English Department rubric to derive the best possible result.

What is your reason for enrolling in the PLTW program?

What are your career goals?

Please contact the Applied Technology Department Chair at your respective school if you have questions regarding this application.

School Contact Phone
Palatine Mark Hibner (847) 755-1701
Fremd Paul Hardy (847) 755-2701
Conant Eric LeBlanc (847) 755-3701
Schaumburg Bruce Rucks (847) 755-4701
Hoffman Estates Al Hausfeld (847) 755-5701

Submission of this application is a first step in the enrollment process.  Final decisions regarding course registration will be determined by the cooperating high schools.  Applications will be sorted using a rubric to provide a competitive yet equitable process for student selection.  Limited course seats are available for the 2009-2010 school year at each of the five District 211 High Schools.