Health and Biomedical Sciences Summer Camp Application


Please complete the application form below. You will receive an email notification upon successful application submission: if you do not receive an email confirmation, your application submission was not successful.

Applications will be reviewed on a rolling basis; because space is limited (in order to facilitate close collaborations between students, faculty, guest speakers and resident advisors), it is advised that applications be submitted as soon as possible. Notification of camp acceptance will be sent via email. Accompanying a notification of acceptance will be instructions for completing camp registration, information regarding the submission of payment, as well as a request for information regarding medication, allergies and/or special needs or accommodations of the camper. When the camp is full, registration will close. Incomplete applications may not be considered.

Applicant Information

Please pick a camp session you would like to attend (select a second choice only if you would be available to attend either session; selecting a second choice increases your chances of camp acceptance.)
First Choice: 
Second Choice: 

*First Name: 
*Last Name: 
*Address: 
*City: 
*State:         *Zip: 
*Email: 
Phone Number: 
*Date of Birth: 
*Gender: 
High School Graduation Year: 
High School Name:
Overall High School GPA:
Name of High School Teacher
or Guidance Counselor Reference:
  Email:
Briefly describe why you want to attend the Health and Biomedical Sciences Summer Camp? (200 words or less)
List all science courses you have taken during high school.
How did you find out about the Health and Biomedical Sciences Summer Camp?


Parent(s)/Guardian Information

Name:
*Address: 
*City: 
*State:         *Zip: 
*Email: 
Phone Number: