Biotechnology Sequencing Summer Camp Registration (June 28-July 2, 2021)
Camp: Biotechnology Camp of Next Gen Sequencing for High School Students
Prerequisite: High School Biology Class
Date: June 28-July 2, 2021 (Mon-Fri)
Time: 9 am - 4 pm (Central Time)
Place: Online
Questions? Please contact Jeehan Lee at
JH1440@mircore.org
Please finalize your registration via this website to pay the registration fee of $25:
https://www.mircore.org/registration-fee-payment/
* Required
Email address
*
Your email
Student Information
First Name
*
Your answer
Last Name
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Your answer
Emails (Google drive compatible one; multiple ones separated by comma)
*
Your answer
Address
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Your answer
City
*
Your answer
State
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Your answer
Zip
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Your answer
Cell phone
Your answer
School in Fall 2021
*
Your answer
Grade in Fall 2021
*
10
11
12
Other:
Can bring a laptop
*
Yes, I can
No, I cannot
labtop operating system:
Windows 10
Other Windows
Mac
Linux
Other:
Clear selection
Gender
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Male
Female
Other:
Race and Ethnicity
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Where did you learn about this program?
*
Your answer
miRcore premium membership?
*
Yes (application:
http://www.mircore.org/for-high-school-students/membership/
)
NO
GIDAS member?
Yes
No
Clear selection
Parent/Guardian Information
Names of Parents (separated by a comma)
*
Your answer
Telephone numbers (separated by a comma)
*
Your answer
Emails of parents (separated by a comma)
*
Your answer
Consent to be photographed
Students' photographs may be taken during the camp for miRcore's activity record. If you do not consent to be photographed, please contact
JH1440@mircore.org
.
Parent: I consent to release these photographs for GIDAS-related activities (typing a name will be used as a signature).
*
Your answer
Student: I consent to release these photographs for GIDAS-related activities (your typed name will be used as a signature).
*
Your answer
Student Essay
Please write a paragraph or two on why you chose this camp and what you expect to learn from it.
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Your answer
A copy of your responses will be emailed to the address you provided.
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