NH National Youth Science Camp - Intent to Apply
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Application Intent to Apply
This is NOT your application, but an intent to apply. Please complete this brief survey and provide basic information prior to submitting your application materials.

Application Check List
Your application material must be sent directly to your state’s selection coordinator so that it is received no later than February 3, 2010.

Your complete application consists of an original and one copy of the following:
1. Delegate Application Cover Sheet (please print or type),
2. A letter detailing your qualifications and reasons for applying (must be typed),
3. A resume detailing your academic achievements and extra-curricular activities,
4. A recent academic transcript (including standardized test scores when possible), and
5. A letter of support from a teacher or research mentor.

Application Instructions

1. Complete the Intent to Apply survey.

2. Staple, in order, items 1 - 5, described above, together with one staple in the upper left corner. Do not otherwise bind your application nor place it in a folder.

3. Mail or ship your complete application directly to:

Lori Temple
NH Department of Education
101 Pleasant Street
Concord, NH 03301

Your application must be received no later than February 3, 2010.

Do NOT send your application material directly to the National Youth Science Foundation.

Please Do NOT send your materials to the office of the National Youth Science Camp.

1. Please provide your contact information.

Please provide your contact information. First Name:
Last Name:
Apt or Box Number:
Street Address:
City/Town:
State:
Zip Code:
Email Address:
Phone Number:

2. Gender:

Gender: Male

Female

3. Age:

Age: 16

4. Please enter the contact information for your parent(s) or guardian(s).

Please enter the contact information for your parent(s) or guardian(s). Parent/Guardian:
Street Address:
Apt or Box Number:
City/Town:
State:
ZIP/Postal Code:
Email Address:
Phone Number:

5. Please include the contact information for your school.

Please include the contact information for your school. School:
District:
Street Address:
City/Town:
State:
ZIP:
Phone Number:

6. Please provide contact information from your sponsoring teacher.

Please provide contact information from your sponsoring teacher. Teacher's Name:
Content Area:
Email Address:
Phone Number:

7. I certify that I will receive a high school diploma between July 1, 2009 and June 30, 2010, and, to the best of my knowledge and belief, all of the information on and attached to this application is true, correct, complete and made in good faith. If selected, I expect to be available to participate during the entire period of the National Youth Science Camp from June 29 through July 23, 2010.

I certify that I will receive a high school diploma between July 1, 2009 and June 30, 2010, and, to the best of my knowledge and belief, all of the information on and attached to this application is true, correct, complete and made in good faith. If selected, I expect to be available to participate during the entire period of the National Youth Science Camp from June 29 through July 23, 2010. Yes

Thank you for completing your intent to apply for the National Youth Science Camp.

If you have any questions about the application and/or delegate selection process, please contact:

Stan Freeda
NH e-Learning for Educators Project Coordinator
NH Department of Education
101 Pleasant Street
Concord, NH 03301
(603) 271-5132
sfreeda@ed.state.nh.us.

NH National Youth Science Camp - Intent to ApplyExit this survey >>

NH National Youth Science Camp - Intent to Apply
Exit this survey >>