High School Summer Seminar Application

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

School Currently Attending(Required)

Current Grade Level(Required)

Emergency Contact Name(Required)

First Last

Relationship to Student(Required)

Phone(Required)

Email(Required)

List any advanced (Honors, AP, IB) level classes you have taken.

Why is the topic of this seminar interesting to you? (150 word limit)(Required)

What is ONE thing you think we should know about you? This can be a story about yourself, something funny, serious, interesting—anything. (150 word limit)(Required)

What do you hope to gain by attending this seminar? (150 word limit)(Required)