Skip Site Navigation
Skip To Page Content

Application Form

Sixteenth Annual Girls Math & Technology Camp

July 13-18, 2014

University of Nevada, Reno (UNR) campus

***Please read the document titled "Application Information" before completing this form.***

Camper Information

Name                                                                                                                                                               
Address                                                                                                                                                           
                                                                                                                                                                        
Phone number(s)                                                                                                                                             
E-mail address(es) (if available)                                                                                                                    

Parent Information

Parent/Guardian name(s)                                                                                                                                
Phone number(s)                                                                                                                                             
E-mail address(es) (if available)                                                                                                                    

School Information

School presently attending/city                                                                                                            
School phone number    ______________________________
Teacher's name   _____________________________________________
Grade level entering next fall:    7    8

Check all applicable items:

___   I attended this camp last year.

___   I applied to this camp last year but did not get in.

___   I need financial aid and can provide proof of free or reduced school lunch status if selected to attend. Note: Campers of any financial status might consult their schools for available scholarship funds for this program or local businesses for possible sponsorship.

___   I am a high-ability 6th grader willing to be placed with girls one grade level higher if it increases my chances of being selected to attend the camp.

___   I am only interested in attending if __________________________________ (camper name) is also selected to attend.

Registration Fee: $450 (please do not send at this time)

Application deadlineform must be received by Friday, May 14,2014

Return form to:    Stephanie Vega College of Educ/299; University of Nevada, Reno; Reno, NV 89557 (mark front of envelope "Math Camp") [fax: (775) 784-4384; email: mathcamp@unr.nevada.edu]

University Block N Logo

University of Nevada, Reno

University of Nevada, Reno
1664 N. Virginia Street
Reno,  NV  89557-

(775) 784-1110
Website Help
Contact Us

Copyright
Privacy
Accessibility Tools

Emergency Information
Emergency Alerts
Doing business with us