RoboCamp 2009 Registration Form

As of today, what do you expect to do after graduating from high school? (Check one)
Attend a 2-year college
Join the military
Attend a 4-year college
Stay at home (no school / work plans)
Attend a vocational or technical school
Not Sure
Get a job
Other:

Do you think you might attend school or get a job in a computer science or engineering field?
YesNo

If yes, in what type of engineering? (Check one or two)
Aerospace Environmental
Agricultural General Engineering
Architectural Industrial
Bioengineering Materials
Chemical Mechanical
Civil Nuclear
Computer Engineering Petroleum
Computer Science Undecided
Electrical
Other:

If yes, how confident are you at the present time that you will major in a computer science or engineering program? (Check one)
Not at all confident; I am already planning not to pursue engineering
Not confident; it is highly likely I will not complete an engineering program
There's about a 50% chance that I'll complete an engineering program
I'm fairly confident that I will complete an engineering program
I'm very confident that I will complete a computer science or engineering program


CAMP EXPECTATIONS
Why did you decide to come to camp?

What is your expectation of what you will learn during camp?

Do you participate in any other math, science, or engineering activities at your school? If so which ones?


THE STUDY OF COMPUTER SCIENCE OR ENGINEERING
To the left of each statement indicate whether you Strongly Disagree, Slightly Disagree, Neither Disagree nor Agree, Slightly Agree, Agree, Strongly Agree, or Don't Know by circling the appropriate number.
To the right of each statement circle the appropriate number to indicate whether the statement is Very Unimportant, Unimportant, Neither Important nor Unimportant, Important, or Very Important to you in terms of completing an engineering program.

To what extent do you AGREE?		How IMPORTANT is this?
0 = Strongly Disagree		0 = Very unimportant
1 = Disagree		1 = Unimportant
2 = Slightly Disagree		2 = Neither Important nor Unimportant
3 = Neither Disagree nor Agree		3 = Important
4 = Slightly Agree		4 = Very Important
5 = Agree
6 = Strongly Agree
? = Don't Know
0 1 2 3 4 5 6 ?	I can relate to the people around me in my classes	0 1 2 3 4
0 1 2 3 4 5 6 ?	I think I can succeed in a computer science or engineering curriculum	0 1 2 3 4
0 1 2 3 4 5 6 ?	I have a lot in common with the other students in my classes	0 1 2 3 4
0 1 2 3 4 5 6 ?	Someone like me can succeed in a computer science or engineering career	0 1 2 3 4
0 1 2 3 4 5 6 ?	The other students in my classes share my personal interests	0 1 2 3 4
0 1 2 3 4 5 6 ?	I can succeed in a computer science or engineering curriculum while not having to give up participation in my outside interests (e.g., extracurricular activities, family, sports)	0 1 2 3 4
0 1 2 3 4 5 6 ?	I can relate to the people around me in my extracurricular activities	0 1 2 3 4
0 1 2 3 4 5 6 ?	I can make friends with people from different backgrounds and/or values	0 1 2 3 4
0 1 2 3 4 5 6 ?	I think I will succeed (earn an A or B) in my college science courses	0 1 2 3 4
0 1 2 3 4 5 6 ?	I think I will succeed (earn an A or B) in my college math courses	0 1 2 3 4
0 1 2 3 4 5 6 ?	I think I will succeed (earn an A or B) in my college computer science and engineering courses	0 1 2 3 4
0 1 2 3 4 5 6 ?	I enjoy studying math and science in school	0 1 2 3 4

What do you think Engineers do?

What is computer science in your opinion?


Directions: For each statement below indicate whether you Strongly Disagree, Disagree, Slightly Disagree, Neither Disagree nor Agree, Slightly Agree, Agree, Strongly Agree, or Don't Know by circling the appropriate number or symbol.

I am confident that ...	Strongly Disagree	Disagree	Slightly Agree	Neither Disagree nor Agree	Slightly Agree	Agree	Strongly Agree	Don't Know
A degree in computer science or engineering will allow me to obtain a well paying job	0	1	2	3	4	5	6	?
I will be treated fairly on the job. That is, I expect to be given the same opportunities for pay raises and promotions as my fellow workers if I enter computer science or engineering	0	1	2	3	4	5	6	?
I can complete a computer science or engineering degree	0	1	2	3	4	5	6	?
A degree in computer science or engineering will give me the kind of lifestyle I want	0	1	2	3	4	5	6	?
Becoming a computer scientist or engineer will increase my sense of self-worth	0	1	2	3	4	5	6	?
I will feel "part of the group" on my job if I enter computer science or engineering	0	1	2	3	4	5	6	?
I can cope with friends disapproval of my chosen career	0	1	2	3	4	5	6	?
A degree in computer science or engineering will allow me to get a job where I can use my talents and creativity	0	1	2	3	4	5	6	?
I can cope with being the only person of my gender/race/ethnicity in a class	0	1	2	3	4	5	6	?
A degree in computer science or engineering will allow me to obtain a job that I like	0	1	2	3	4	5	6	?

OBSERVATIONS ABOUT ENGINEERS
Please rate to what extent you agree with the following statements using a scale ranging from "Strongly Disagree" to "Strongly Agree."

When I think about engineers, I think that they:	Strongly Disagree	Disagree	Slightly Agree	Neither Disagree nor Agree	Slightly Agree	Agree	Strongly Agree	Don't Know
Have fun with colleagues at work	0	1	2	3	4	5	6	?
Maintain friendships with colleagues in other departments	0	1	2	3	4	5	6	?
Know a lot about the latest discoveries	0	1	2	3	4	5	6	?
Do not have a lot of friends	0	1	2	3	4	5	6	?
Know how equipment works	0	1	2	3	4	5	6	?
Are careful with expensive instruments	0	1	2	3	4	5	6	?
Have happy marriages	0	1	2	3	4	5	6	?

Self Observations
Please rate to what extent you agree with the following statements using a scale ranging from "Strongly Disagree" to "Strongly Agree."

Personal Attributes
Directions: The items below inquire about what kind of person you think you are. Each item consists of a PAIR of characteristics, with the letters A-E in between. For example:

Not at all artistic   A......B......C......D......E Very artistic

Each pair describes contradictory characteristics - that is, you cannot be both at the same time, such as very artistic and not at all artistic.

The letters form a scale between the two extremes. You are to choose a letter which describes where YOU fall on the scale. For example, if you think that you have no artistic ability, you would choose A. If you think that you are pretty good, you might choose D. If you are only medium, you might choose C, and so forth.

When I think about myself, I think that I:	Strongly Disagree	Disagree	Slightly Agree	Neither Disagree nor Agree	Slightly Agree	Agree	Strongly Agree	Don't Know
Have fun with colleagues at work/school	0	1	2	3	4	5	6	?
Maintain friendships with colleagues/classmates in other classes	0	1	2	3	4	5	6	?
Know a lot about the latest discoveries	0	1	2	3	4	5	6	?
Do not have a lot of friends	0	1	2	3	4	5	6	?
Know how equipment works	0	1	2	3	4	5	6	?
Are careful with expensive instruments	0	1	2	3	4	5	6	?
Expect to have a happy marriage	0	1	2	3	4	5	6	?

Not at all aggressive	-- A B C D E --	Very aggressive
Not at all independent	-- A B C D E --	Very independent
Not at all emotional	-- A B C D E --	Very emotional
Very submissive	-- A B C D E --	Very dominant
Not at all excitable in a major crisis	-- A B C D E --	Very excitable in a major crisis
Very passive	-- A B C D E --	Very active
Not at all able to devote self others	-- A B C D E --	Able to devote self completely to others
Very rough	-- A B C D E --	Very gentle
Not at all helpful to others	-- A B C D E --	Very helpful to others
Not at all competitive	-- A B C D E --	Very competitive
Very home oriented	-- A B C D E --	Very worldly
Not at all kind	-- A B C D E --	Very kind
Indifferent to others' approval	-- A B C D E --	Highly needful of others' approval
Feelings not easily hurt	-- A B C D E --	Feelings easily hurt
Not at all aware of feelings of others	-- A B C D E --	Very aware of feelings of others
Can make decisions easily	-- A B C D E --	Have difficulty making decisions
Give up very easily	-- A B C D E --	Never give up easily
Never cry	-- A B C D E --	Cry very easily
Not at all self-confident	-- A B C D E --	Very self-confident
Feel very inferior	-- A B C D E --	Feel very superior
Not at all understanding of others	-- A B C D E --	Very understanding of others
Spontaneous	-- A B C D E --	Planned
Conscientious	-- A B C D E --	Inexact
Unimaginative	-- A B C D E --	Imaginative
Experimental	-- A B C D E --	Routine
Serious	-- A B C D E --	Carefree
Bored	-- A B C D E --	Engaged
Flexible	-- A B C D E --	Inflexible
Creative	-- A B C D E --	Not creative
Erratic	-- A B C D E --	Consistent
Curious	-- A B C D E --	Disinterested
Intellectually stagnant	-- A B C D E --	Intellectually active
Constrained	-- A B C D E --	Free
Unoriginal	-- A B C D E --	Original
Scrutinizing	-- A B C D E --	Cursory
Uninventive	-- A B C D E --	Inventive
Questioning	-- A B C D E --	Take at face value
Work-oriented	-- A B C D E --	Family-oriented
Collaborative	-- A B C D E --	Independent worker
Highly-focused	-- A B C D E --	Unfocused
Intelligent	-- A B C D E --	Extremely intelligent
Logical	-- A B C D E --	Intuitive

Gender and Ethnicity
We would like to know what you think about men, women and ethnicity in our culture in general, as well as your observations about computer science and engineering professions. Please rate to what extent you agree with the following statements using a scale ranging from "Strongly Disagree" to "Strongly Agree."

	Strongly Disagree	Disagree	Slightly Agree	Neither Disagree nor Agree	Slightly Agree	Agree	Strongly Agree	Don't Know
Women and men receive equal educational opportunities in fields such as computer science and engineering.	0	1	2	3	4	5	6	?
Women and men receive equal employment opportunities in fields such as computer science and engineering.	0	1	2	3	4	5	6	?
People of all ethnic groups receive equal educational opportunities in fields such as computer science and engineering.	0	1	2	3	4	5	6	?
People of all ethnic groups receive equal employment opportunities in fields such as computer science and engineering.	0	1	2	3	4	5	6	?
In my ethnic group, men and women have the same educational opportunities in fields such as computer science and engineering.	0	1	2	3	4	5	6	?
In my ethnic group, men and women have the same employment opportunities in fields such as computer science and engineering.	0	1	2	3	4	5	6	?

DEMOGRAPHICS
Name:
Email Address:

Gender:
MaleFemale

Ethnicity/Citizenship (check a maximum of two):
Black/African American Latina/Latino/Hispanic American
American Indian/Alaskan Native White American
Asian & Pacific American Other:

What grade will you be attending in the Fall (choose one)
8th grade 9th grade 10th grade11th grade 12th grade

Thank you!