2017 Biotechnology Summer Camp Registration (July 17 - 21, 2017)
Camp: Biotechnology Camp for High School Students
Date: July 17 - 21, 2017 (Mon-Fri)
Time: 9 am - 4:30 pm
Place: Undergraduate Science Building, University of Michigan
Questions? Please contact Jeehan Lee at JH1440@mircore.org
Student Information
First Name
Your answer
Last Name
Your answer
Emails (Google drive compatible one; multiple ones separated by comma)
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Telephone
Your answer
School
Your answer
Grade in Fall 2017
Can bring a laptop
Gender
T-shirt (adult sizes)
miRcore premium membership?
GIDAS member?
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.
Your answer
Submit
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