NH National Youth Science Camp 2013 - Intent to Apply
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Application Intent to Apply
This is NOT your application, but an intent to apply to be a delegate to the 2013 National Youth Science Camp. The camp will be held in Charleston, West Virginia from Wednesday June 26th through Saturday, July 20th, 2013. Delegates must attend the entire camp.
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 15, 2013.

Download the application instructions.

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, how you would benefit from the NYSC experience, and your thoughts on the social impacts of science (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 emphasizing academic achievements, interest in sciences or mathematics, leadership potential, and well-rounded development.

Application Instructions

1. Complete the Intent to Apply survey form.

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 15, 2013.

Please 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. Certification
I certify that I will receive a high school diploma between July 1, 2012 and June 30, 2013, 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 will be available to participate during the entire period of the National Youth Science Camp in Charleston, West Virginia from Wednesday, June 26 through Saturday, July 20, 2013.

Certification
I certify that I will receive a high school diploma between July 1, 2012 and June 30, 2013, 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 will be available to participate during the entire period of the National Youth Science Camp in Charleston, West Virginia from Wednesday, June 26 through Saturday, July 20, 2013. Yes

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

Remember to send in your completed application to Lori Temple at the Department of Education before the February 15 deadline.

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

Stan Freeda
Educational Technology and Online Learning
NH Department of Education
101 Pleasant Street
Concord, NH 03301
603.271.5132
Stanley.Freeda@doe.nh.gov.

NH National Youth Science Camp 2013 - Intent to ApplyExit this survey >>

NH National Youth Science Camp 2013 - Intent to Apply
Exit this survey >>