Bucknell University Engineering Camp 2022 Application
Please complete this form to apply for Engineering Camp at Bucknell University, to be held June 26-30, 2022. Applications received after May 12, 2022 will be waitlisted. After June 1, 2022 there is no guarantee that applications will be reviewed for admission; please email engineering.camp@bucknell.edu to see if there are any remaining spots.
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Email *
Camper Last Name *
Camper First Name *
Camper Email Address *
Camper Mobile Phone Number *
Please enter numbers only
Camper's Street Address *
City/Town *
State
Country *
Zip Code *
Expected Year of High School Graduation *
Date of Birth *
MM/DD/YYYY
Gender *
T-Shirt Size (adult sizes) *
Parent/Guardian 1 Name *
First and Last Name of Primary Contact #1
Parent/Guardian 1 Phone Number *
Needed for emergency contact.
Contact email address *
Primary email address of the person who would like to be contacted about Camp (parent, guardian).
Parent/Guardian 2 Name
First and Last Name of Primary Contact #2
Parent/Guardian 2 Phone Number
Name of teacher providing recommendation *
Email address of teacher providing recommendation
Name of guidance counselor providing recommendation *
Email address of guidance counselor providing recommendation
Name of your current middle/high school *
Address of your current middle/high school *
A copy of your responses will be emailed to the address you provided.
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