EKTO Academy OST FA24 - SP25 Application

Future Tech Leaders Out-of-School Time (OST) FA24 - SP25 Application

We look forward to learning & growing together!
Welcome to EKTO Academy!

We are experienced inventors, VR robotics engineers, and technology teachers who want to share the things we love with the next generation. You are invited to our Academy Summer Camp Weeks, where your child will enjoy one day dedicated each to VR Game Design, Coding for Robotics, YouTuber Skills, Rapid Prototyping, and Entrepreneurship! Our Academy Summer Camp Weeks provide fantastic breadth, are an excellent introduction to our Fellowship Program, and most importantly are a lot of fun! Your learner's experience will also include mentoring and social time with the inventor teaching the course and kids who share their interests. Each week of camp runs Monday - Friday, 9 am - 3 pm, includes lunch, and costs $1,099 per student (we offer payment plans as well as open house, sibling, and referral discounts!) We're near Target in East Liberty at 6101 Penn Ave and look forward to seeing you!
Student Information
Name*
Nickname
Pronouns
Date of Birth*

MonthDayYear
Date
Date

MonthDayYear
Date
Age
We want everyone to have a great experience. Please use this space to let us know anything you think we should know to provide a great experience to the student and to best meet them where they are and serve their interests and goals.
We want everyone to have a safe experience. Please use this space to let us know about any allergies, self-administered medication needs, medical needs/restrictions, or dietary restrictions.
If the student has an IEP, 504 plan, GIEP, or similar educational support plan, please upload it here.

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OST Program Information
1st choice of day*
2nd choice of day*
3rd choice of day
Does 4 pm - 6 pm work for you?*

YesNo
How many hours of 1-on-1 virtual office hours would you like per month? ($75 / hour)*
How many hours of 1-on-1 in-person job shadowing would you like per month? ($100 / hour)*
Caregiver Information
Caregiver Name*

First NameLast Name
Nickname
Pronouns
Caregiver E-mail*
Phone*
If someone referred you, please let us know who
Agreements
Logistical Detail Agreements*

I understand that this program will be held one night a week for 2 hours on 3 weeks each month and is currently scheduled for Tuesday, Wednesday, or Thursday night from 4 pm to 6 pm if minimum enrollments are metI understand that this program is located in East Liberty near TargetI confirm that my child will have the necessary, safe transportation to and from the program locationI understand that I may be required to pay a nominal deposit to secure my child's spot in the programI agree to a 5-month commitment with autopay of $499 / month plus any requested additional services (e.g. office hours, shadowing hours, etc.)I understand that should I need to break my 5-month commitment that I must provide at least 2 weeks notice prior to the next billing date and that I may be subject to a nominal cancellation fee
Safety and Liability Agreements*

I confirm that my child has the impulse control to follow directions for safety (theirs and others) around manufacturing equipmentI understand that my child will work with and near expensive equipment and trust that they have the maturity to engage with the space respectfullyI understand that I will be liable for any damage to equipmentI confirm that my child can contribute to a low-sensory (chill) experience for other students with that need
Purpose Agreements*

I understand that unlike many traditional OST programs run by career councilors or college students, this a program to introduce kids passionate in this area to tech entrepreneurship skills with mentoring in an active tech startup R&D space, run by experienced experts in their field looking for kids who are passionate about this sort of thing to support and mentor. I confirm that my child is that kind of kid and will benefit from this.I confirm that my child genuinely wants to do thisI confirm that my child will participate in a short interview as part of this application process, either virtually or in-person, in order to ensure student-program fit
Thank you for taking the time to complete this application!

We will follow up shortly to let you know if your child's application has passed review and to schedule their interview if so. Following the interview, we will let you know if we feel that our program is a good fit for your child and request emergency contact information, confirm scheduling, and arrange payment if so.

Student enrollment is not confirmed until payment is received and an enrollment confirmation is provided.
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Future Tech Leaders Out-of-School Time (OST) FA24 - SP25 Application

Welcome to EKTO Academy!

Student Information

OST Program Information

Caregiver Information

Agreements