Application Deadline is May 24, 2024 Application Deadline is May 24, 2024 Name: First Name: Last Name: Address Address City/Town State/Province - Select - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ZIP/Postal Code Date of Birth Ethnic Group Caucasian Latino/Hispanic Middle Eastern African Caribbean South Asian East Asian Mixed Gender - Select - Man Woman Non-binary Agender/Genderless Androgyne/Androgynous Aporagender Bigender Demi-agender Demi-boy Demi-fluid Demi-girl Demi-gender Demi-non-binary Genderqueer Genderflux Genderfluid Gender-indifferent Gender-neutral Graygender Intergender Maverique Maxigender Multigender/Polygender Neutrois Pangender/Omnigender Trigender Two-spirit Prefer Not to Answer Parent Phone Number Parent Email Address Student Email Address What school did you attend? Anticipated grade in upcoming school year (starting in the fall) 8th Grade 9th Grade 10th Grade I'd like to attend: - Select - Session 1: June 3-6 Session 2: June 10-13 Essay Question: What do you like most about STEM (Science, Technology, Engineering, and Mathematics) and why do you want to attend this camp? (500 words max) Acknowledgements I understand that I must be selected to participate in this program. Submitting this application DOES NOT guarantee acceptance to the program