pdf - Bohart Museum of Entomology

Camper Pre-registration Question Form
Bio Boot Camps 2015
There are three parts to this application (camper question, letter of reference and expectations).
Please make sure all three get sent in. The application due date is March 31, 2015.
Selected campers will then be notified by email in the first few weeks in April and given the option
to accept and register. Others will be given the option to be placed on a waitlist. Applications after
March 31 will be accepted only pending availability. However, we have historically had waitlists.
Which camp are you applying for?
Bio Boot Camp – June 15-19 (entering grades 7-9) □
BBC 2.0 Camp – June 22-26 (entering grades 10-12) □
Name of student:
Will you be applying for a scholarship?
Yes□ No□
Date of Birth:
Fall 2015
Name of parent(s)/guardian(s):
Zip Code:
Family or Parent Phone #:
Parent’s e-mail:
Student’s e-mail (optional):
In your own words, why are you (the student) interested in attending this
Please e-mail, fax, or mail in this form. We will then follow up with the parents/guardians
and students. Please keep in mind that this camp has limited space.
[email protected]
(530) 752-9464
Tabatha Yang
Dept. of Entomology & Nematology
Bohart Museum of Entomology
University of California
One Shields Ave
Davis, CA 95616