Engineering Camp 2021
ENGINEERING CAMP 2021 IS NOW FULL.
WE ARE NO LONGER ABLE TO ACCEPT APPLICATIONS.

Please complete this webform to apply for Engineering Camp at Bucknell University
June 27 - July 1, 2021. After June 1st, 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.
Email *
Camper Last Name *
Camper First Name *
Camper Email Address *
Camper Mobile Phone Number *
Home Address *
# Street
City, State, 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
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bucknell University. Report Abuse