1. 4. How many days have you been absent this year?
 0-5  6-10  11-20  21+
If more than 5, briefly explain why? _________________________________________________
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5. What is your overall grade point average? _____________________________________________
6. What foreign language(s) have you taken in school? (Indicate level) _______________________
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7. Why are you interested in being selected for this program? _______________________________
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8. In the area below, write a brief paragraph (six to ten sentences) describing yourself.
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9. List two teachers that you intend to use as references.
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I understand that if I am accepted into this Summer Camp Program, I will be committed to
completing the entire week’s agenda and to participating in all required activities.
_________________________________________
(Signature of Applicant) (Date)
I have read this application and information sheet and approve of my child’s participation in this
Summer Camp Program if he/she is selected.
_________________________________________
(Signature of Parent) (Date)