First name:
Last name:
e-mail (please type carefully):
Gender:	female
	male (find alternative programs here.)
Underrepresented Group, if any:	Hispanic
	African American
	Native American
	other:
	decline to state or no answer.
Level in School in the year just finished:	Have just completed 9th Grade
	Have just completed 10th Grade
	Have just completed 11th Grade
	Have just completed 12th Grade
	other:
Name of High School
(give location if outside Twin Cities area)
I can attend	Both weeks (the entire period June 15-26, fee=$75)
	Only the first week (June 15-19, fee=$50)
Do you need financial support to attend?	No.
(if yes, explain in the comments below)	Yes, but I could still attend without support.
	Yes. I would not be able to attend at all without some support.

Academic Areas of Interest:

Any other comments: