Student Application for ASM International Orange Coast Chapter 2019 Materials Camp
Items followed by a red asterisk (*) must be completed properly before proceeding to the next section. All 5 sections must be completed properly for you to be considered for camp.
Students MUST provide proof of medical insurance that is active during camp. Contact us at
if you have questions or need help obtaining short-term medical insurance for camp. Use "Camp Medical Insurance" as the subject line.
Some factory tours require proof of U.S. citizenship to visit certain areas containing U.S. government classified activities. Non-citizens may be allowed to tour unclassified areas of those factories.
Personal (NOT SCHOOL) Email Address
Address Line 2 (if needed)
Do you want to save your partly-completed application, and quit for now? If so, answer "Yes" and you may finish at a later time by returning to your application, using the same Google account. To submit your application, you must complete ALL 5 sections below by the due date. Answer "No" if you want to continue now to the next section.
Never submit passwords through Google Forms.
This form was created inside of Weebly Email Service. -
Terms of Service