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 *
您的回答
Date of Birth (mm/dd/yyyy) *
您的回答
Phone *
您的回答
Permanent Home Address *
您的回答
City *
您的回答
Zip Code *
您的回答
Email Address *
您的回答
Gender *
您的回答
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 *
您的回答
School City *
您的回答
Current grade level *
必填
Are you income eligible for free or reduced price lunches? *