CUW Computer Science Camp Registration

Personal Information

First Name

Last Name

Email Address

Phone Number

Birthdate

Gender

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

What High School do you attend?

What is your high school graduation year?

Academic Program of Interest:

Have you previously earned college credit for a computer science course?

Parent Information

Parent First Name

Parent Last Name

Parent Phone Number

Additional Information

Do you have any food allergies?

Please list any food allergies below.

Are you interested in applying for a DPI Scholarship? (Award of scholarship is dependent upon eligibility for free and reduced lunch.)