Student Information

Student's Name*
Applcation Decision
Paperwork Received
If you do not see your school listed, please select "other" and enter the name
Sex*
Preferred Pronouns*
Graduation Year
Race*
Would you be a first generation college student?
If a parent/guardian has a degree, select no.
Student's Date of Birth*
Student's Primary Address*
If accepted would prefer to receive the required forms via email with a PDF attachment or through the mail?
T Shirt Size

Student Skills

Parent/Guardian Information

Parent/Guardian 1 Name*
Primary Address
Would you like to add on a second parent/guardian?

Second Parent/Guardian Information

Parent/Guardian 2 Name
Primary Address (if different from first parent/guardian)

Additional Information

How did you hear about this camp? (Check all the apply)*

Please give us the name of one academic reference for this student (school counselor, staff member, teacher, etc). This person should be aware they are being listed as a reference. A letter of recommendation is not required for this camp but we may reach out to them.

Reference Name*
Ex: Guidance Counselor, Math Teacher, etc.
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