CAMP GEMS APPLICATION Name ______________________________________________________ Age________________________ Address:____________________________________________________ Birthdate:______/______/______ City:________________________________________________State:________Zip Code:______________ Campers preferred first name (to be used on name tag):__________________________________________ Day Phone: (_______)______________________ Night Phone: (_______)_________________________ Email address_____________________________ Parent Cell Phone (________ ) ____________________ School Name:_____________________________ Grade in fall 2012_______________________________ Please list extracurricular school, community and church activities in which you participated this year (e.g. student council, music groups, patrol, etc.).________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ What do you like to do in your spare time (hobbies, etc.)?_________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Shirt size (Adult) :
S
M
L
XL
2X
Roommate Request Roommate requests are honored whenever possible. However, BOTH friends must request each other. If you request to room with a friend, but your friend does not request you, you WILL NOT be placed together, and it will not be possible to switch rooms when you arrive. If possible, I would like to room with (friend’s name):____________________________________ .
APPLICATION DEADLINE: June 1, 2012 CAMP GEMS FEE:
$295, which includes room, board and educational materials.
CHECKS PAYABLE TO:
Ohio Northern University Camp GEMS
SEND APPLICATIONS AND CHECKS TO:
Laurie Laird Ohio Northern University College of Engineering 525 South Main Street Ada, OH 45810
WHAT TO BRING
INSURANCE
Be prepared to handle all kinds of weather: warm/ cool, rain/shine. Old clothes that are comfortable, durable and washable are recommended. Remember, the camp runs for four days.
Campers are expected to provide their own
Soap, comb, and/or brush, tooth- brush, toothpaste, deodorant, etc. Long jeans or slacks Shorts Shirts or blouses Sweater or sweatshirt and jacket Socks (one pair per day) Pajamas Underwear Swimsuit and beach towel Rain gear Two pairs of sturdy shoes (one pair suitable for use in gym) Plastic garbage bag for dirty clothes One dress-up outfit for dinner Sunscreen and bug repellent Alarm clock Towels and washcloths for shower Sleeping bag or bedsheets and blanket Pillow
Optional Equipment Backpack Camera and film Shower clogs Hair dryer Tennis racket and balls Roller blades/rollerskates Small fan Flashlight with new batteries
medical insurance. Ohio Northern University does not assume direct responsibility for the health care of those using the facilities of the University for summer programs. A registered nurse is on call 24 hours per day. In the event of injury or illness, campers are transported to Lima Memorial Hospital or St. Rita’s Medical Center in Lima. The camp is not responsible for lost or stolen items. Campers are provided keys to rooms and are encouraged to use them.
CAMP FEES The camp fee is $295 and includes room, board and educational materials. Transportation to and from the camp is not included or provided.
Make checks payable to: Ohio Northern University Camp GEMS
Payment in full is required with the camp application. The camp maximum is 72 girls. Applications are accepted on a first-come basis. Fees are returned if the camp is full. No refunds after July 1, 2012.
Camp GEMS is an engineering, mathematics and science camp designed to develop interest, excitement and self-confidence in young women entering grade seven or eight in fall 2012. This four-day residential camp for up to 72 young women will be held July 15-18, 2012. The camp features hands-on activities in math, science and computers. A class ratio of 12 students per teacher is emphasized to encourage maximum interaction and instruction. The camp is designed for the all-around student, not just those who excel academically. The camp also offers many all-camp activities such as swimming and tennis. All sleeping, eating and instructional activities are located on the campus of Ohio Northern University in Ada, Ohio.
WHO WILL DIRECT THE CAMP? ONU faculty members instruct the camp courses. Their qualifications include excellent backgrounds in their specific subjects and high levels of interest in working with girls of this age level.
CAMP LOCATION
CAMP GEMS
Ohio Northern University is located on state Route 235 in the village of Ada. Michigan 90 90
Toledo
Cleveland
80
Pennsylvania
76 75
30
235
Lima
Indiana
81
Akron 30 Ada
309
Kenton
Mansfield 71
77
31
33 70
Dayton
Canton
70 Columbus
Cincinnati
West Virginia Kentucky
From Fort Wayne, Ind. (1.5 hrs.) Take U.S. 30 east to state Route 235; then state Route 235 south to Ada, Ohio. From Columbus, Ohio (1.5 hrs.) Take I-270 northwest to US 33 west to Marysville, Ohio; then state Route 31 to Kenton, Ohio; then state Route 309 west 13 miles to the intersection of state Route 235; then state Route 235 north to Ada, Ohio.
A lifeguard is on duty for swimming activities.
From Detroit, Mich. (2.5 hrs.) From Toledo, Ohio (1 hr 15 mins.) Take I-75 south to Mt. Cory/Ada exit; then state Route 235 south to Ada, Ohio.
The camp counselors are female college students majoring in engineering, math and science. The counselors assist faculty members with teaching responsibilities. Each camper is assigned to a small family group and camp counselor for the entire camp.
From Cincinnati, Ohio (2.5 hrs.) Dayton, Ohio (1.5 hrs.) Take I-75 north to Lima Ohio; then state Route 81 east to state Route 235 south to Ada, Ohio. From Indianapolis, Ind. (3 hrs.) Take I-70 east to Dayton, Ohio, then I-75 north to Lima, Ohio; then state Route 81 east to state Route 235 south to Ada, Ohio. Download campus map: www.onu.edu/maps
JULY 15-18, 2012 College of Engineering Laurie Laird Ada, OH 45810
WHAT IS  CAMP GEMS?
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ems. campg Sponsored by Ohio Northern University American Association of University Women/Lima branch