BlueStamp Engineering Summer 2024 Application

BlueStamp Engineering Summer 2024 Application
Who is filling out the application?*

StudentParent/GuardianStudent + parent/guardian together
Student Name*

First NameLast Name
Student Email*
example@example.com
Student Phone Number*
If student doesn't have a phone, enter parent phone number.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.
Program Choice*

In-Person Summer Program (San Jose, CA)Remote Summer ProgramNot sure yet

Student Gender*

FemaleMaleOther
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade Level (2023-24)*

8th9th10th11th12thOther
School Name*
Reference #1 Title*
Reference #1 Name*
We recommend STEM teachers or counselors for your references.
Reference #1 Email*
example@example.com
Reference #2 Name
At least one reference is required; two is highly encouraged.
Reference #2 Title
Reference #2 Email
example@example.com