Accelerated Environmental Scientist Summer Program

Camp Registration Form

Required Field *

Student Information

Student First Name *

Student Middle Name *

Student Last Name *

Student Preferred Name (Name to be printed on camper name badge; e.g. Steven to Steve) *

Mailing Address *

Country

Street

City

Region

Postal Code

Student Email Address (we do not recommend using your school email, as our emails are often filtered out) *

Confirm Student Email Address *

Student Phone Number (xxx-xxx-xxxx) * (cell number while at camp)

Demographic Information

Gender *

Female

Male

Other

If other, please specify

Date of Birth *

Age of Student During Camp * (numeric values; e.g. 15)

School Currently Attending *

Grade Level This Fall *

Year Student will Graduate from High School (numeric values; e.g. 2030) *

Are you interested in receiving more information about the S&T Direct Admission Program? Opting into this program would automatically offer you admission to Missouri S&T if minimum admission criteria are met at the end of your junior year (3.5 GPA+ AND 24 ACT+/1160 SAT+)

Yes

No

Which test have you taken

SAT

ACT

ACT Composite Score

SAT Total

High School GPA

High School GPA Scale

Ethnicity

Is student of Hispanic or Latino origin?

Yes

No

Miscellaneous Camper Information

T-Shirt Size (adult sizes) *

First and Last Name of Requested Roommate (not guaranteed)

How did you first hear about S&T's summer camps? *

If other, please indicate how you heard about the camp. *

Why did you select a S&T Camp for your K12 student? Please select all that apply. *

If other, please specify

Has your student attended an event on the S&T campus in the past? *

Yes

No

If yes, what level(s) of school was your student when they visited? Please select all that apply. *

Elementary School

Middle School

High School

Has your student attended a S&T summer camp in the past? *

Yes

No

If yes, what level(s) of school was your student when they attended a camp? Please select all that apply. *

Elementary School

Middle School

High School

Are you interested in touring campus and/or getting additional information by attending a campus visit?

Yes

No

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Daytime Phone (xxx-xxx-xxxx) *

Evening Phone (xxx-xxx-xxxx)

Parent/Guardian Email Address *

Confirm Parent/Guardian Email *

Have either of the student's parents/guardians completed a bachelor’s degree? *

Accelerated Environmental Scientist Summer Program

Missouri S&T Admissions Missouri University of Science and Technology