Each applicant will only be able to receive a stipend for one of the following camps. Select the camp you are planning to attend: *
Social security number or MARSS number *
Your answer
Date of Birth (mm/dd/yyyy) *
Your answer
Phone *
Your answer
Permanent Home Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Gender *
Your answer
Ethnicity: Are you Hispanic or Latino (a person of Cuban, Mexican, Chicano, Puerto Rican, South or Central American, or other Spanish culture, regardless of race)? *
Race *
School Name that you are attending now *
Your answer
School City *
Your answer
Current grade level *
Required
Are you income eligible for free or reduced price lunches? *