University of Central Arkansas

  • Student Information Section

  • Gender
  • Have you attended this camp before? If so, please check the appropriate box or boxes for when you attended
  • Grade you will enter next fall (must be in grades 9-12)
    *
  • Please rate your current ability level on the following technologies. Please be completely honest; these ratings will have no impact whatsoever on the selection process. They will be used to figure out what we should include in future camps. *
      No Ability Small Ability Level Small-Medium Ability Level Medium Ability Level Medium-High Ability Level High Ability Level
  • Parent Information Section

  • - -
  • - -
  • The parent's mailing address is needed if it is different from the student's mailing address.

  • Nominating Teacher Information Section

  • Helpful tip for students: You might first compose your essay in Microsoft Word, spell and grammar check it, and then copy and paste it into this form.

  • - -
  • Student Essay Section

  • Please answer your essay by typing it in the box below.