Application

First Name

Last Name

Preferred Name

Date of Birth

Gender

Shirt Size

Please list any food accommodations

Student Email

Student Phone

Address

City

State

Zip Code

Parent Name

Parent Email

Parent Phone

Recommender's Name

(Counselor or Teacher)

Recommender's Email

(Counselor or Teacher)

Recommender's Phone

(Counselor or Teacher)

For this camp, a phone with internet connection capabilities is required. Will you have access for the duration of the camp?

High School

Expected Graduation Date

What is your GPA?

What did you score on your most current PSAT/SAT or PACT or ACT?

Please list your extracurricular activities, volunteer experiences and jobs.

What is your anticipated field of study?

In 250-500 words, please tell us why you are interested in this camp.

Please upload a PDF of your current transcript.

Please select a file

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