MEC-Google Computer Science Summer Institute Extension Program, Summer 2019
Application
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Name
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Date of birth
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Gender
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Address
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City/State
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Email Address
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Phone
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Degree program of interest
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Student Performance
Regents - ELA (if applicable)
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Regents - Math (if applicable)
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Advanced Regents - Math and/or ELA (if applicable)
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Agreement
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I intend to be enrolled as a full-time student at MEC in Fall, 2019
I will be able to attend every day of the CS Summer Institute program
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Signature - Write your name below as your agreement with the above
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