Bioinformatics Fall Camp (Nov 2-3 and 9-11, 2024)
Name
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First Name
Last Name
Email (please use your personal email, NOT school associated email)
*
example@example.com
Phone Number
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Please enter a valid phone number.
Home City
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Home Zip Code
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School Name
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Age - As of Sept 2024
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Please Select
5
6
7
8
9
10
11
12
13
14+
Please select the response that best represents your gender identity:
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Male
Female
Non-binary/non-conforming
Other
Please select the response that best represents your racial identity:
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Asian or Pacific Islander
Black or African American
Hispanic or Latino
Native American or Alaskan Native
White or Caucasian
Multiracial or Biracial
Race not listed here
Decline to answer
Are you a first-generation student / graduate in your family?
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Yes
No
Are you eligible for Free / Reduced Lunch at school?
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Yes
No
Parent Name
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First Name
Last Name
Parent Phone Number
*
Please enter a valid phone number.
Parent Email
*
example@example.com
Parent/Guardian Company Names (for non-profit matching)
*
Please indicate your level of experience with bioinformatics (e.g., genetics, data science, coding with R/Python, analyzing biological data, etc.)
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1 - no prior knowledge or experience
2 - basic awareness, some exposure through school or online resources
3 - moderate experience through projects or courses
4 - significant experience through hands-on work, internships, or specialized courses
5 - extensive knowledge and experience, possibly involved in bioinformatics research or projects
What are you hoping to gain from this camp?
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What kind of major do you want to pursue in college?
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If you were referred by an organization, please name them here.
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How did you hear about this camp? (i.e. organization, counselor, friends, family, WhatsApp, email list, social media, etc.) Please be as specific as possible.
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Referred by (please indicate name):
Liability Waiver Accepted by Parent
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By saying yes below, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages, or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance Shooting Stars Foundation Inc, its officers, student and parent volunteers from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. I hereby give my consent to Shooting Stars Foundation to take photographs, video recordings, and/or sound recordings of me during my participation. I grant Shooting Stars Foundation my permission to use the negatives, prints, motion picture, video tapings, or any other reproduction of the same for promotional purposes on flyers, on the World Wide Web, or in any other manner deemed necessary. I expressly state that I have read, understand and am familiar with all provisions herein. I understand that this release is a contract and I sign it of my own free will. I agree to all terms and provisions herein.
Signed By (Participant Over 18 or parent, if the participant is under 18)
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If you have any questions or concerns please contact Phone: (214) 206-7007 Email: support@sstarsfoundation.org Or type your questions here:
Bioinformatics Camp $299 (after 10/18 - $349)
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USD
$299 - before October 18th; $349 - after October 19th
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