Imagination Application 2021

2021 Imagination Camp Program Participant Application

NOTE: Due to continuing uncertainty regarding the COVID-19 pandemic, this program will be online for summer 2021. Teacher recommendations are also optional due to many teachers not being comfortable submitting a recommendation for students in online classes. The daily camp schedule will be shortened/adjusted to avoid Zoom fatigue.

Camp Dates:

Week 1: Monday, June 21 - Friday, June 25
Week 2: Monday, July 19 - Friday, July 23

In addition to the participant application, a teacher recommendation must be completed. The reference MUST be a math, science, or technology teacher. Your teacher will be emailed directly with a link to complete the online recommendation. You will need his/her email address. Applications will be reviewed on a rolling basis until all spaces are filled. The cost is $150.

If you have any questions, please email Kim Lester at kimml61@vt.edu or call 540-231-7337.

The Imagination Day Camp will be offered two different weeks. Check all dates for which you would like to be considered.

Week 1: June 21 - June 25

Week 2: July 19 - July 23

A scholarship is needed to attend.

Yes

No

First Name

Middle Name

Last Name

Preferred Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone Number

Evening Phone Number

Email (This will be our main form of communication.)

Parent Email

Gender

Ethnic Origin (Check all that apply.)

Do you identify as Hispanic/Latino?

Yes

No

Did either of your parents/guardians earn a four-year bachelor degree?

Yes

No

Applicant's School Name

CEED (hidden)

School City

School State

How did you hear about the Imagination program? (Check all that apply.)

How you heard about Imagination:

What grade will you enter in the fall of 2021?

7th

8th

9th

Please write a one-paragraph answer to the question: What about engineering interests you? Draft in Microsoft Word or another word processing program to check for spelling and grammar. Then copy and paste into the field below.