Summer Engineering Academy Application Form

SEA Program

The Webb Institute Summer Engineering Academy (SEA) is a two-week program designed to introduce middle and high school students to the field of engineering through classroom learning, challenging team-oriented hands-on activities, and more. Parents are invited to view the final boat race that will take place the last Friday of the program!

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* 1. Student Name

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* 2. Student Email Address:

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* 3. Entering Grade:

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* 4. Student Cell Phone Number:

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* 5. What is your student's gender?

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* 6. High School Information

Current High School:

City:

State:

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* 7. Parent/Guardian Name

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* 8. Relationship to the student:

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* 9. Parent/Guardian Email

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* 10. Parent/Guardian Cell Phone

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* 11. Parent/Guardian Home Phone

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* 12. Emergency Contact Information

First Name:

Last Name:

Relationship To Student:

Cell Phone Number:

Home Phone Number:

Work Phone Number:

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* 13. Student Address

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* 14. What allergies does your student have, if any?

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* 15. What medication does your student need to take, and at what time, if any?

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* 16. What session is your student looking to partake in?

Session 1: July 7th-18th

Session 2: July 21st-August 1st

Either (no preference)

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* 17. Camper T-Shirt Size (Unisex Adult T-shirt Sizes)

Small

Medium

Large

Extra Large

2XL

3XL

Other (please specify)

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* 18. Please submit your Student's School Transcript or Report Card Here:

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Summer Engineering Academy Application Form

SEA Program

Question Title

* 1. Student Name

Question Title

* 2. Student Email Address:

Question Title

* 3. Entering Grade:

Question Title

* 4. Student Cell Phone Number:

Question Title

* 5. What is your student's gender?

Question Title

* 6. High School Information

Question Title

* 7. Parent/Guardian Name

Question Title

* 8. Relationship to the student:

Question Title

* 9. Parent/Guardian Email

Question Title

* 10. Parent/Guardian Cell Phone

Question Title

* 11. Parent/Guardian Home Phone

Question Title

* 12. Emergency Contact Information

Question Title

* 13. Student Address

Question Title

* 14. What allergies does your student have, if any?

Question Title

* 15. What medication does your student need to take, and at what time, if any?

Question Title

* 16. What session is your student looking to partake in?

Question Title

* 17. Camper T-Shirt Size (Unisex Adult T-shirt Sizes)

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* 18. Please submit your Student's School Transcript or Report Card Here:

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* 19. Please feel free to provide any other additional information here: