Engineering Academy

Monday, July 15, 2024 at 8:00 AM until Friday, July 19, 2024

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Student Information

Student Given First Name

Student Preferred First Name (if different)

If a preferred name is provided, we will use it in all communications including physical mailings to your mailing address.

Student Last Name

Birthdate

What is your gender?

Are you part of an under-represented ethnic/racial group in STEM such as Black/African American, Hispanic/LatinX, American Indian, or Alaska Native?

Student Contact Information

Student Email Address

Please note that there is an opportunity at the bottom of this form to provide a parent/guardian email address for communication purposes. The "Student Email Address" should be unique to this student.

Student Mobile Phone Number

Student Mailing Address

Country

Street

City

Region

Postal Code

Other Student Information

Grade

Begin typing the name of your school and select it from the dropdown.

High School

I am homeschooled.

Would you be a first-generation college student?

Would you need financial aid to participate in the summer camp?

T-Shirt Size

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Relation to Student

Parent/Guardian Email

Parent/Guardian Phone Number

Teacher or School Counselor Providing Recommendation

First Name

Last Name

Email Address

Find Information for:

Additional Resources

Engineering Academy

* indicates a required field

If a preferred name is provided, we will use it in all communications including physical mailings to your mailing address.

Please note that there is an opportunity at the bottom of this form to provide a parent/guardian email address for communication purposes. The "Student Email Address" should be unique to this student.

Begin typing the name of your school and select it from the dropdown.