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Robeson Community College / Project 3C     Virtual  Summer Camp Application  
                                      Connecting Community, College, and Career through STEM

The Project 3C grant is provided by the Lumbee Tribe of North Carolina and funded by the Department of Education
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Email *
Project 3C Virtual Summer Camp
Virtual Summer Camp - July 6th-9th
Project 3C will provide American Indian students with experiences and skills necessary to: accomplish goals successfully, increase similarities between their interests and career choices, and broaden their college and career opportunities in STEM (Science, Technology, Engineering, and Mathematics). This grant program is a Native Youth Community Project funded by the Department of Education.  
Please click your desired Virtual Camp experience *
Name *
Email Address *
Address/City/State/Zip *
Cell Phone *
Secondary Cell Phone
Home Phone
Grade Level in Fall 2020 *
School Name & District *
Emergency contact(s) - Parent/Guardian                                                                                                                                                                                                                                                                                                                                                                                         Name - Relationship - Home/Cell/Work Phone                                                                                                     Name - Relationship - Home/Cell/Work Phone                                           *
Indian Education Verification or Tribal Verification Number
As the parent/guardian of the student enrolled in RCC's Project 3C Virtual Summer Camp, I understand that a laptop/tablet with Internet connectivity is required. *
Required
CONSENT TO USE PHOTOGRAPH/VIDEO                                                                                                                                              As a parent or legal guardian of my child enrolled in the Summer Camp offered by Robeson Community College and the Lumbee Tribe, I understand and consent to the use of my child’s photograph and/or video on the RCC and Lumbee Tribe web and social media sites, in an official RCC and/or Lumbee Tribe publication, and for any RCC and Lumbee Tribe undertaking. I further understand that the official photograph and/or video is a public record, and therefore subject to disclosure, upon proper request by a third party, under the North Carolina Public Records Law. *
Required
I am the legal parent/guardian of the student listed in question 1 and am requesting enrollment of this student in RCC's Project 3C Virtual Summer Camp. I understand that all possible precautions will be taken to ensure that the programs and activities will be conducted by mature qualified personnel in a safe and responsible manner. I agree to provide a designated time and space for the student to participate in assigned activities.                                                                                        Parent's Name & Date *
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