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2025 Summer STEM Camp Tulsa: JULY 22 - 24 (Tuesday through Thursday)
Please note: Participants must be able to follow verbal instructions with limited support
Please fill out to the best of your ability.
OK
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1.
Name of Student (First and Last)
(Required.)
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2.
Student's e-mail address (or parent's email if student does not have one)
(Required.)
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3.
Best Contact Phone Number for Student
(Required.)
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4.
Parent’s Name
(Required.)
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5.
Best Contact Phone Number for Parent
(Required.)
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6.
Parent's Email Address
(Required.)
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7.
Choose your age
(Required.)
14
15
16
17
18
19
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8.
Please give the name of your middle school or high school
(Required.)
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9.
Do you have a disability?
(Required.)
Yes
No
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10.
Are you currently on an Individualized Education Program (IEP) or a 504 Plan
at your school?
(Required.)
Yes
No
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11.
Do you have a VR Counselor?
(Required.)
Yes
No
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12.
If yes, what is his/her name?
(Required.)
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13.
What is your primary disability? If you have more than one, please list the primary followed by the others.
(Required.)
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14.
Do you require any learning accommodations or accessible materials?
(Required.)
Yes
No
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15.
If other needs, please specify:
(Required.)
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16.
What are your top 3 career choices?
(Required.)
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17.
What do you hope to get out of this experience?
(Required.)
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18.
T-Shirt Size:
(Required.)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
XXXX-Large
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19.
Do you have any food allergies or special dietary needs? (If so, please bring your own lunch and snacks).
(Required.)
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20.
What level are your computer skills?
(Required.)
Beginner
Experienced
Advanced
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21.
Can you work independently on projects, with some support?
(Required.)
Yes
No
Current Progress,
0 of 21 answered
