Application - deadline is June 15, 2021
Requirements: Ages 13 - 18, Available 7/5 - 7/16 | 9:00 a.m. - 12:00 p.m. (virtually)

The program will be held virtually - must have Internet access, mobile device and computer to participate
Parent(s) / Guardian(s) Name *
Cell Phone (parent / guardian)
Email Address (parent / guardian) *
Participants First Name *
Participants Middle Name
Participants Last Name *
Street Address *
City *
State *
Zip Code *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Race *
Education *
Name & Address of Last School Attended *
Technology Interests (Check all that apply) *
Required
Describe your experience level in chosen area(s) of interest *
How did you hear about the program?
I am interested in participating in the summer workshops, and I will commit to attending all sessions. *
Required
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