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Prescott Campus
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Summer Exploration Registration Form
Prescott Summer Camp Application
Summer Camp Application Form
Contact Information
Student's First Name:
(required)
Student's Last Name:
(required)
Student's E-Mail Address:
(required)
Phone:
(required)
Alternate Phone:
Mailing Address:
City:
State:
Zip Code:
Parents Name 1:
Parents Name 2:
Interest and Background
Program Interested In:
Aerospace Engineering
Computer Engineering
Generations I
Generation II
Generations III
Generations IV
Flight Exploration Alpha
Flight Exploration Bravo
Flight Exploration Charlie
Flight Exploration Delta
Age:
Date of Birth:
Gender:
Male
Female
Are you a U.S. Citizen?:
Yes
No
Do you currently have any flight hours?:
Yes
No
Number of Hours:
Have you attended a camp in the past?:
Yes
No
Camp Attended:
Name of High School:
High School Address:
City:
State:
Zip Code:
High school year:
Freshman
Sophomore
Junior
Senior
Year you will enter college:
Current grade point average:
2.0-2.5
2.5-3.0
3.0-3.5
3.5-4.0
How did you hear about us?
Internet Search
Friend
Camp Fair
CampFinder Website
College Fair
School Counselor
Past Attendee
Other
If other please indicate source:
T-shirt size:
Mens Small
Mens Medium
Mens Large
Mens Extra-Large
Womens Small
Womens Medium
Womens Large
Womens Extra-Large
Interested in scholarship information?
Yes
No
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