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
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