Camp Biomed: A Glowing Overview
Want to make bacteria glow? Apply for the Commuter Summer Academy at Broken Arrow campus at Northeastern State University at Broken Arrow from June 24 - 28th, 2024 from 9 am to 4 pm.
Application Deadline: Open Until Filled. Please have your parent or legal guardian around while completing this form. Please note that on acceptance, additional forms, information (including social security number of participants), and other documents will be required.
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Email *
Name *
Email *
Entering Grade *
Please tell us a little about yourself like your favorite subjects, languages you know, hobbies,  or any other information that you would like to share. 
Please type a paragraph (100-200 words) indicating your interest in the academy and your willingness to participate in the academy activities. We are interested in providing engaging learning to enthusiastic students. *
Date of birth *
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Street address *
City, State, and Zip code *
County *
Home phone number *
Please indicate your sex *
Race *
Name of school *
School's street address *
School's city, state, and zip code *
School's phone number *
Special request/Needs. If none, enter 'not applicable'. *
Please list the science & mathematics courses you have successfully completed by the end of the school year (May 2024). *
The Safety of our participants is of paramount importance to us. Therefore, the CDC and NSU guidelines will be followed and are subject to change. Further information will be provided. Please type your name to denote agreement. *
Please provide the name(s) & number(s) or emergency contacts *
Honor statement from participant: Several hundred Oklahoma students are applying for State Regents Summer Academies. Students attending more than one State Regents Summer Academy may prevent many other students from having this opportunity. Although some Academies do not have waiting lists, others have very long waiting lists. So that more students may attend a State Regents Summer Academy, I will notify Academy Directors if I am accepted for more than one 2023 Academy. By typing my name/initials below, I agree to the Honor statement. *
Parent or legal guardian's name *
Parent or legal guardian's cell phone number *
Parent or legal guardian's email address *
Parent or legal guardian should include their name below if they agree to give permission to this applicant to participate in the activities of the Sumer Academy Program, including field trips. *
Dear Parents and legal guardians, the funding agency requires us to collect Social Security numbers of participants and hence is required if admitted. Please write your name to indicate that you will be willing to provide us with one if admitted. (only required if admitted)
Parent or legal guardian should include their name below if they agree to give permission for the applicant to receive any medical attention deemed necessary by qualified medical personnel in the event such treatment is required during the Academy. *
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