UNA STEM CAMP 2024 Participant Application

Student First Name

Student Last Name

Student Email Address

Birthdate

Address

Country

Street

City

Region

Postal Code

Guardian Information

Guardian First Name

Guardian Last Name

Guardian Cell Phone

Guardian Email

Grade Level

High School

Current GPA

Did you attend the UNA STEM camp last summer?

Yes

No

Extracurricular Activities

Why do you want to participate in UNA's STEM Camp?

What are your future career/academic goals?

Would you like to be considered for a camp scholarship?

Yes

No

Please have a letter of recommendation emailed to Dr. Hunt at ahunt3@una.edu if you would like to be considered for a camp scholarship.