2023 ExploreAg Registration

2023 ExploreAg Registration Form

Fill out the form carefully for registration for the 2023 ExploreAg Camp Programs. Please note it will take 15 minutes to complete the application. The application will require you to name one professional reference with their contact information. The following essay question is required: Please outline one agricultural career you are interested in learning more about and why? (1,000 characters max). Please list not applicable if appropriate. APPLICATIONS ARE DUE APRIL 10.
Student Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail*
example@example.com
Mobile Number*
Choose one or more races that you consider yourself to be:*

Black or African AmericanAmerican Indian or Alaska NativeAsianSpanish, Hispanic, LatinoNative Hawaiian or Pacific IslanderWhiteOtherPrefer not to answer
ExploreAg Experience*

This will be my FIRST ExploreAg ExperienceI attended ExploreAg Camps in the past (if you attended ExploreAg in the past, you must 1. attend a different camp session and 2. recruit a friend to attend with you)
What is the highest grade or level of school that you have completed?*

Middle School (Grades 6-8)Freshman (Grade 9)Sophomore (Grade 10)Junior (Grade 11)Senior (Grade 12)
Name of Parents/Guardians*
Address of Parent/Guardian *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email of Parent/Guardian *
example@example.com
Phone Number of Parent/Guardian *
Please enter a valid phone number.
Shirt Size*

XSSmallMediumLargeX-LargeXX-Large
Dietary restriction*

Yes, I have a dietary restriction (please list more detail below)No, I do not have a dietary restriction
Please List Dietary Restrictions, Food Allergies, Medical Conditions and Allergies *
Transportation*

Transportation to or from camp will not be an issueTransportation to or from camp will be an issueTransportation will limit my ability to attend camp
My first ExploreAg Camp Session preference is ...*

Mini Camp: June 4 - 7 Wilmington CollegeDay Camp FIRST Session: June 9- COLT Electric Lineman 9-12 pm: Mt. Gilead, OHWeeklong Camp: June 11 - 16 Ohio State Columbus CampusWeeklong Camp: June 18 - 23 Ohio State ATI Wooster CampusDay Camp: June 30 - Rio Grande College, Rio Grande, OHDay Camp: July 7 - John Deere Training Center, Plain City, OHWeeklong Camp: July 9 - 14 University of FindlayMini Camp: July 31 - August 2 Hocking CollegeDay Camp SECOND Session: June 9- COLT Electric Lineman 1 - 4pm: Mt. Gilead, OH

Essay Question: Please outline one agricultural career you are interested in learning more about and why?*

0/1000

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2023 ExploreAg Registration Form