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Ultimate Technology Summer Camp Application

Ultimate Technology Summer Camp Application

Your Information


Last Name

First Name

Middle Initial

Street Address

 
 

City

State

Zip Code

Date of Birth

Gender

Ethnic Group

Parent Phone Number

Parent Email Address

Student Email Address

What school did you attend?

Anticipated grade in 2018-2019 school year 

Upload school transcript:  

Max size 2MB, allowed filetypes: PDF, DOC, DOCX    

Essay Question

 

What do you like most about STEM (Science, Technology, Engineering, and Mathematics) and why do you want to attend this camp? (500 word max)

Program Options

 

Which session are you interested in attending? (If willing to do either, please check both)

 June 4-8, 2018 June 11-15, 2018

Acknowledgements

 

 I understand that I must be selected to participate in this program. Submitting this application DOES NOT guarantee acceptance to the program.

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