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GenCyber camp registration form

Please correct the fields below:

GenCyber_logo

Registration form for GenCyber camp

To reserve your spot in this year's GenCyber camp, complete and submit this registration form.

Registrations will be processed on a first come basis while space is available. 

Free! The GenCyber camps are offered at no cost to participants. Funding is provided jointly by the National Security Agency and the National Science Foundation through a GenCyber grant.

NSA_logo NSF_logo

Please note: (*) indicates responses are required.

 

Please indicate which GenCyber camp you are applying to and can commit to attending all five days (9 am - 3 pm daily)

 *
Please indicate which GenCyber camp you are applying to and can commit to attending all five days (9 am - 3 pm daily)

 

Student information:

Name

 *
Name

Address

 *
Address

Contact information

 *
Contact information
Your school as of fall 2024
 *
Your grade level as of fall 2024
 *
Date of birth (MM/DD/YYYY)
 *
Have you participated in a prior cybercamp at WCC?
 *
Your gender (required for grant reporting)
 *
Your ethnicity (required for grant reporting); check all that apply
 *
Your ethnicity (required for grant reporting); check all that apply

Parent/legal guardian information:

Name

 *
Name

Contact information

 *
Contact information

Tell us why you're interested

 *

Please upload your transcript or most recent report card (optional)

GenCyber camp t-shirt order

Each GenCyber camp participant will receive a commemorative t-shirt. To ensure we have the right size for you, please indicate your preferred size.

We'll do our best, but cannot guarantee t-shirts for participants who register after June 21, 2024.

 *

Forms

Please download and complete these forms (attendance commitment, medical release, photo release, statement of ethical conduct). Send the completed forms to Whatcom Community College. They must be received prior to starting the camp.

Email: cybercamp@whatcom.edu

Or mail to:

Attn: GenCyber Camps
Whatcom Community College
237 W. Kellogg Rd.
Bellingham, WA 98225

  1. To receive a copy of your submission, please fill out your email address below and submit.