• WIU GenCyber Cybersecurity Camp Application Form

  • Applicant Information

  • Format: (000) 000-0000.
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Gender*

  • Background/Demographics

  • Do you live in a rural area in the United States?*

  • You will be considered a first-generation college student if neither of your parents has completed a 4-year college or university degree. If either of your parents has completed a 4-year college degree, please select “No.” Otherwise, select “Yes.”

  • Will you be a first-generation college student when you attend college in the future?*
  • Are you a current resident of any of the following states?*

  • Access to Cybersecurity Education

  • Have you traditionally had fewer opportunities to learn about cybersecurity?*
  • Have you traditionally been unaware of opportunities for productive careers in cybersecurity?*
  • Have you ever participated in a previous GenCyber program?*

  • GenCyber Camp-Related Questions

    • Little to no prior experience: I have little to no prior experience but am passionate about exploring the field of cybersecurity.
    • Intermediate experience: I have taken a course or received other formal instruction in cybersecurity.
    • Advanced experience: I have taken cybersecurity courses and participated in various cybersecurity-related activities or competitions, such as hackathons. 
  • How would you describe your prior experience in cybersecurity?*
  • How would you describe your prior experience in computer programming?*

  • Interest in the Camp

  • School Information

  • Format: (000) 000-0000.

  • Parent/Guardian Information

  • Please provide your parent/guardian's information. You may provide information for both parents/guardians or for only one parent/guardian.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • References

  • Recommendation Letter


    Please provide the names and email addresses of up to three references whom we may contact to request a recommendation letter on your behalf. You are required to submit only one recommendation letter for your GenCyber application.

    However, we encourage you to provide up to three references. If one person is unable to provide a recommendation, we can contact another reference to ensure that your application is complete.


    Please let your references know that the recommendation letter is due by December 15, 2026. They will be asked to complete the recommendation through an online form. The recommendation request will be sent to your identified references by Dr. Tahir Khan from khan@wiu.edu.

     

  • WIU GenCyber Cybersecurity Camp Participant Agreement

  • If you are accepted to attend the WIU GenCyber Cybersecurity Camp, which will be held from June 6 through 11, 2027, at Western Illinois University in Macomb, Illinois, you will be required to adhere to the following expectations and rules.


    If I am accepted to the WIU GenCyber Cybersecurity Camp:

    • I will attend the camp at Western Illinois University from June 6 through 11, 2027, and remain at the camp for the entire program duration.
    • I will participate in all scheduled camp activities, classes, workshops, and events to the best of my ability.
    • I will make my best effort to learn and understand the material presented during the camp and ask questions when I need assistance.
    • I will demonstrate respectful, professional, and appropriate behavior toward other students, instructors, counselors, staff members, and university personnel.
    • I will help create and maintain a positive, inclusive, and welcoming environment for all participants.
    • I will work cooperatively with other students and demonstrate teamwork, communication, and good sportsmanship during group activities.
    • I will follow all camp, university, residence hall, and safety rules and policies.
    • I will treat university facilities, equipment, computers, networks, and other property with care and respect.
    • I will use computers, networks, software, and other technology only as instructed and authorized by camp staff.
    • I will communicate respectfully and respond to emails, messages, and other camp communications in a timely manner.
    • I will promptly notify the appropriate camp staff member if I have a question, concern, or problem during the camp.
    • I will complete and return all required forms, paperwork, and documentation to the camp administrator by the requested deadlines.
    • I understand that participation in the camp is a commitment for the entire program period, and I will make every reasonable effort to fulfill my responsibilities as a participant.
    • I understand that failure to follow camp rules or these expectations may result in disciplinary action, including dismissal from the camp, in accordance with applicable camp and university policies.

  • Participant Acknowledgement

  • By entering my name below, I acknowledge that I have read and understand the expectations listed above. If I am accepted to participate in the WIU GenCyber Cybersecurity Camp, I agree to follow these expectations, as well as all applicable rules and policies established by Western Illinois University and the camp administrators.

  • Have you provided accurate and complete information in this application to the best of your knowledge?*
  • How did you hear about the WIU GenCyber Cybersecurity Camp?
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