Ultimate Technology Summer Camp Application Ultimate Technology Summer Camp Application Your Information Last Name First Name Middle Initial Street Address City State Arizona (AZ)Alabama (AL)Alaska (AK)Arkansas (AR)California (CA)Colorado (CO)Connecticut (CT)Delaware (DE)District of Columbia (DC)Florida (FL)Georgia (GA)Hawaii (HI)Idaho (ID)Illinois (IL)Indiana (IN)Iowa (IA)Kansas (KS)Kentucky (KY)Louisiana (LA)Maine (ME)Maryland (MD)Massachusetts (MA)Michigan (MI)Minnesota (MN)Mississippi (MS)Missouri (MO)Montana (MT)Nebraska (NE)Nevada (NV)New Hampshire (NH)New Jersey (NJ)New Mexico (NM)New York (NY)North Carolina (NC)North Dakota (ND)Ohio (OH)Oklahoma (OK)Oregon (OR)Pennsylvania (PA)Rhode Island (RI)South Carolina (SC)South Dakota (SD)Tennessee (TN)Texas (TX)Utah (UT)Vermont (VT)Virginia (VA)Washington (WA)West Virginia (WV)Wisconsin (WI)Wyoming (WY) Zip Code Date of Birth Gender Male Female Other Ethnic Group---American Indian or Alaskan NativeAsianBlack (Non-Hispanic)HispanicNative Hawaiian or Pacific IslanderWhite (Non-Hispanic) Parent Phone Number Parent Email Address Student Email Address What school did you attend? ---AAEC High SchoolAcademy Math & ScienceAcademy of EcellenceAkimel A-al Middle SchoolAlhambra High SchoolAltadeña Middle SchoolAmy Houston AcademyAprende Middle SchoolArcadia High SchoolArizona College PrepArizona Cultural AcademyASU Preparatory AcademyBenjamin Franklin High SchoolBernard Black Elementary SchoolBetty H. Fairfax High SchoolBioscience High SchoolBostrom High SchoolC.J. JorgensenC.O. GreenfieldCamelback High SchoolCarl Hayden High SchoolCentennial Middle SchoolCentral High SchoolCesar ChavezCesar Chavez High SchoolChampion SchoolCheatham ElementaryChrist the King Catholic SchoolCloves CampbellDesert MeadowsDesiderata ProgramEd & Verma Pastor Elementary SchoolEmmanuel Lutheran SchoolFranklin Police and Fire High SchoolGililland Middle SchoolHome SchoolIgnacio ConchosIngleside Middle SchoolIrene Lopez Elementary SchoolJohn F. KennedyJohn R. DavisKyrene Aprende Middle SchoolKyrene Middle SchoolLaveen ElementaryLinda Abril Educational AcademyM L King Elementary SchoolMadison Middle SchoolMaryvale High SchoolMaxine O. BushMcClintock High SchoolMesa Academy for Advanced StudiesMetro Tech High SchoolMountain Pointe High SchoolNFL YetNorth High SchoolOther (input school name below)Percy L. JulianPhoenix Coding AcademyPhoenix Collegiate Academy Charter High SchoolPhoenix Collegiate Academy Elementary SchoolRogers RanchSabis InternationalSeba Dalkai Boarding SchoolSkyline Prep High SchoolSouth Mountain High SchoolSouth Point High SchoolSouth Pointe Junior HighSouthwest Elementary SchoolSt. John Bosco Catholic SchoolSt. Mary's High SchoolSunland Elementary SchoolT.G. BarrTempe AcademyTempe HighTrevor G. Browne High SchoolUniversity High School of TollesonV. H. LassenValley View ElementaryVista del Sur Accelerated AcademyWillis Junior High SchoolXavier College Prep Anticipated grade in 2019-2020 school year (starting in the fall) ---8th9th10th 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 3 - 6, 2019 June 10 - 13, 2019 Acknowledgements I understand that I must be selected to participate in this program. Submitting this application DOES NOT guarantee acceptance to the program. Please enter the text below.