JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2024 NSTI Camp Application
Please submit the document via email to Dr. Tena Wooldridge wooldria@nsuok.edu.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student Name
*
Your answer
Email Address
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Student Cell Phone Number
*
Your answer
Gender
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
High School
*
Your answer
Grade (2024-2025 Academic Year)
*
9th
10th
11th
12th
Cumulative GPA
*
Your answer
Complete Algebra or Pre-Algebra?
*
Yes
No
Why are you interested in participating in this program? How will your participation support your career choice?
*
Your answer
Do you have any food allergies or dietary restrictions? If, so please list below.
Your answer
Please indicate your t-shirt size.
*
S
M
L
XL
XXL
XXXL
Other:
Optional Information (Check all that apply)
American Indian/Alaska Native
Hispanic or Latino
Black/African American
White
Asian
Native Hawaiian/Pacific Islander
Other (please specify)
Name of a teacher, guidance counselor, coach, or adult who can serve as a reference for you if needed.
*
Your answer
Relationship to Student
*
Your answer
Reference person email address
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/guardian phone number
*
Your answer
Parent/Guardian email address
*
Your answer
Emergency Contact #1 Name
*
Your answer
Emergency contact phone number
*
Your answer
Emergency Contact #2 Name
*
Your answer
Emergency contact phone number
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NSU.
Report Abuse
Forms
