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UMKC GenCyber Summer Camp Application
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* Indicates required question
Email
*
Your email
First name
*
Your answer
Last name
*
Your answer
Phone number
*
Your answer
Gender
*
Female
Male
Prefer not to say
Ethnicity
*
White
Black or African American
American Indian or Alaska Native
Hispanic or Latino
Asian
Native Hawaiian or other Pacific Islander
Other:
Required
High school name
*
Your answer
High school state
*
Missouri
Kansas
Other:
Grade in Fall 2021
*
9
10
11
12
Preferred camp dates
*
Either Camp 1 (July 26-30) or Camp 2 (August 2-6) works for me
I am only available for Camp 1 (July 26-30)
I am only available for Camp 2 ( August 2-6)
Do you have computer and Internet access at home?
Yes
No
Clear selection
You are interested in this summer camp because:
*
Your answer
Have you taken high school cybersecurity courses?
*
No
Yes
Where did you hear about this summer program?
*
School announcements
Teachers
Friends
UMKC website
Other:
Required
T-Shirt Size
*
XS
S
M
L
XL
XXL
Other:
Your mailing address for camp T-shirt and materials:
*
Your answer
A copy of your responses will be emailed to the address you provided.
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