STEM Summer Camp

First Name

Last Name

Gender

Race

If other, please list:

Hispanic:

Current Address

Country

Street

City

Region

Postal Code

Birthdate

Email Address

Phone:

Name of High School:

High School Graduation Year

2023

2024

Are you interested in pursuing a degree in a STEM related field?

Yes

Undecided

Parent or Guardian First Name

Parent or Guardian Last Name

Parent or Guardian Phone:

Parent or Guardian Email:

Is your Parent or Guardian your emergency contact?

Emergency Contact Name:

Emergency Contact Phone:

In order to complete your application you are required to provide:

1. An essay which answers each of the questions below. The recommended length of the essay is a minimum of 250 total words and a maximum of 300 total words and must be in Microsoft Word of pdf format.

What areas of STEM interest you the most and why?
Why are you motivated to become a leader in STEM?
How will your attendance at STEM Summer camp benefit you and your community?

2. Name and email of a teacher or high-school counselor that will provide you with a recommendation to attend STEM Summer Camp. EKU Staff will contact the teacher or counselor for the recommendation.

When your essay is completed, please upload it in the space provided below.

Upload Essay (Microsoft Word or PDF formats ONLY)

Name of Teacher or School Counselor providing recommendation:

Email of Teacher or School Counselor providing recommendation: