Thank you for your interest in the 2026 Level Up Bootcamp provided by Florida State College at Jacksonville and JAXUSA Partnership! More information to come regarding registration.

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1. Student Name (Required.)

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2. Parent/Guardian Name (Required.)

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3. Second Parent/Guardian Name (If Applicable)

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4. Home Address (Required.)

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5. School (Required.)

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6. Grade Level (Required.)

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7. Student Email (Required.)

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8. Parent/Guardian Email (Required.)

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9. Second Parent/Guardian Email (If Applicable)

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10. Student Phone Number (Required.)

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11. Parent/Guardian Phone Number (Required.)

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12. Second Parent/Guardian Phone Number (If Applicable)

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13. Career Pathway Interest (Required.)

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14. Indicate which camp you are interested in attending: (Required.)

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15. If you are open to either camp date, please rank them by first and second choice: (Required.)

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16. There is a $25 dollar fee for this camp when registering with FSCJ. If you believe this may cause a hardship for you, please let us know. (Required.)

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17. Did you hear about the Level Up camp from a student who attended the camp last year? (Required.)

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18. If so, please provide the students name.

Thank you for filling out this survey! The Level Up team will be in contact with you soon.

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