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.

Camp admission is competitive and applications will be reviewed for evidence of scholarly achievement and enthusiasm for the Health and Biomedical Sciences. 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 (applicants may also be placed on a waitlist) – please note that application review may take several weeks. 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

Name *

First

Last

Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Email Address *

Phone Number

###

####

Date of Birth *

YYYY

Gender *

Male

Female

High School Graduation Year

High School Name

Overall High School GPA

Name of High School Teacher or Guidance Counselor Who Can Be Contacted as a Reference

Reference Email

Briefly describe why you want to attend the Health and Biomedical Sciences Summer Camp.

We are happy to welcome campers with all levels of scientific experience, but we are interested in your specific experiences - please list all science courses you have taken in high school.

How did you find out about the Health and Biomedical Sciences Summer Camp?

Parent(s)/Guardian Information

Parent(s)/Guardian Name *