2025 Derivative of Thrills Summer Institute Camp Application

Derivative of Thrills Institute Application

Required Field *

Student First Name *

Student Middle Name *

Student Last Name *

Student Mailing Address *

Country

Street

City

Region

Postal Code

Student Daytime Telephone (xxx-xxx-xxxx) *

Student Mobile Phone (xxx-xxx-xxxx)

Student Email Address *

Sex *

Female

Male

Other

Birthdate *

Insert your personal statement (must be at least 300 words, up to 500 maximum) which answers the question: Why are you interested in attending the Derivative of Thrills Institute? *

High School Name *

Highest level of math offered at your high school *

High School Graduation Year *
Example: 2026

Are you of Hispanic or Latino Origin?

Yes

No

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email *

Parent/Guardian Daytime Phone (xxx-xxx-xxxx) *

Parent/Guardian Evening Phone (xxx-xxx-xxxx)

How did you hear about this camp? *

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

Transcript *

You can upload the document here

2025 Derivative of Thrills Summer Institute Camp Application

Missouri S&T Admissions Missouri University of Science and Technology