Specify if you prefer to go by a middle name or nickname.
Your answer
Age *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Phone Number *
If you do not have a phone number, please list the number of a parent or guardian. Also please indicate if the number is text-only or voice.
Your answer
Please list a responsible adult(s) that can be contacted in case of emergency and their phone number. *
Your answer
Are you Deaf or Hard-of-Hearing? *
This GenCyber camp is only for deaf and hard-of-hearing students.
Have you attended a GenCyber camp before?
We encourage you to come back to camp!
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What will be your high school grade level in fall 2018? *
Only students who are entering the 9th, 10th, 11th, or 12th grade (or recent graduates) in fall 2018 will be eligible for this camp.
What is your gender? *
This information will be used to place you in a dorm room.
What high school do you attend? *
Please also enter the school's state. Enter "Homeschooled" if applicable.
Your answer
Please mark any subject you have studied in or outside of school.
What is your t-shirt size? (Adult sizes) *
GenCyber attendees get a free shirt!
What is your preferred method of communication? *
How proficient are you with ASL? *
Do you have any food allergies or dietary restrictions? (If yes, please list).
Your answer
Do you have any medical conditions or special needs that we need to be aware of?
Your answer
Do you have any other comments or information that we should know?
Your answer
If available, do you need assistance with transportation arrangements? *
If you answer yes or maybe, we will contact you regarding these arrangements.
Tell us in a few sentences why you are interested in attending GenCyber. *
Your answer
Letter of Recommendation *
To apply for the summer camp, you must also email a signed letter of recommendation from a teacher to ccre@uah.edu -- Either you or your teacher can email the letter. Please ensure your full name is included in the email.
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