| First Name: |
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| Last Name: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Phone: |
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| Email: |
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| Date of Birth: |
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| Parent/Guardian: |
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| Parent/Guardian Phone: |
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| High School Attended: |
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| Last Grade Completed: |
8
9
10
11
12 |
| Preferred T-Shirt Size |
S
M
L
XL
XXL |
| Gender |
F
M
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| Please list your Hobbies/Interests: |
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| Please list any Honors/Awards you have received: |
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1. Describe yourself using 5 adjectives (for example: talkative, congenial, thoughtful, innovative, and tall) |
| Adjective #1: |
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| Adjective #2: |
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| Adjective #3: |
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| Adjective #4: |
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| Adjective #5: |
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| 2. Do you have a business idea or own your own business? If so, please briefly explain. |
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3. Tell us about someone you admire who owns a successful business and why you want to own your own business?
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| 4. Please provide us with names and contact information for two unrelated personal references. Examples: teachers, coaches, business owners, etc. |
| Reference #1: |
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| Reference #2: |
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| 5. If you are applying for a scholarship, please tell us why you should receive one. |
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By submitting this application, I agree to:
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1. Pay the full camp tuition of $595 by June 30th. If I receive a scholarship, I agree to invest $45 of my own money toward the tuition (paid by June 30th) as my commitment to attend CampCEO |
2. Adhere to the Professional Dress Code as required by camp officials (khakis / dark pants (Dockers' style) and/or skirts (knee-length or longer), professional shoes, and belts. Unacceptable clothing includes: jeans, sandals, baggy-style pants, short skirts, shorts, capri pants, headbands, and hats. (Note: a suggested packing list will be provided to registered campers.)
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