Click here for full program details.
If you have any questions or concerns regarding the application process, please contact the Engineering Diversity Outreach Center at (860)486-5536. Or email us at
*Please fill out this form on Chrome but Firefox or Microsoft Edge should work too. The old Internet Explore WILL NOT WORK!*

    • Please fill out this form on Chrome. Firefox or Microsoft Edge will work too. The old Internet Explorer WILL NOT WORK!
    • Our primary form of contact is email, please ensure your email is correct and it is an email you check frequently!
    • Please ensure all information is correct, especially emails,phone numbers,gender, and t-shirt size.
    • IMPORTANT: We ask for medical information on the application, please note anything you think the counselors need to know for your child. It is important to note it on this application so we check the health form that you will fill out later.
    Date Preferred

    Personal Information

    Medical Information

    Contact Information

    High School Information

    Parent / Guardian Information

    General Program Information

    If you fail to do this, or if you indicate 1 for more than one program, we will select a program for you.

    Statement of Interest and Financial Assistance

    (If your school district provide free or reduce lunch to ALL students then you need to submit the IRS forms)

    Forms and Documents

    Parental Consent Form -- Agreement and Signature