Cyber Defense 2019 Summer Application

Transcription

1 Cyber Defense 2019 Summer Application Cyber Defense Training Camp is an advanced level 7 day residential summer program for rising high school juniors and seniors. Dates: 3:00pm, Sunday, July 7 12:00pm, Saturday, July 13, 2019 Required Documentation: Unofficial Transcript References TRANSCRIPTS: All applicants must upload in this form or send their most recent UNOFFICIAL TRANSCRIPTS to mcwic@cs.umd.edu. Applications without corresponding transcripts will not be evaluated for the program. Transcripts must be sent within two weeks of the submitted application. REFERENCES: All participants must supply a name and for one reference. This person should preferably be a teacher or instructor of a computing/cyber training or camp the student has attended. References will be contacted via to complete a reference form. If you need to update or provide additional information about your reference, please mcwic@cs.umd.edu Please title all s as follows: Applicant's First and Last Name Cyber Defense Application 2019 **Example: Katherine Johnson Cyber Defense Application 2019 IMPORTANT APPLICATION DATES: We will begin reviewing applications beginning February 15th Acceptances will be sent out around the end of February If accepted, a deposit will be required to hold your spot. References will begin to be contacted beginning Feb 1st. * Required 1. address * 2. Participant's First Name * 3. Participant's Last Name * 1/7

2 4. Participant's Address * 5. Participant's City * 6. Participant's State * 7. Participant's Zipcode * 8. Participant's County of Residence * 9. Participant's State of Residence * 10. Participant's Grade in Summer 2019 * Rising 11th Grader Rising 12th Grader 11. Participant's School (Current) * 12. School Address 2/7

3 13. Please indicate which type of school your child attends * Public Private Charter Home School Other 14. Participant's Birthday * Example: December 15, Participant's Ethnic Group * American Indian or Alaska Native Asian (Not Pacific Islander) Black or African American Caucasian (Not Hispanic) Hispanic or Latino Pacific Islander Prefer not to disclose Other: 16. Participant's Gender * Female Male Prefer not to say Other: 3/7

4 17. Participant's T Shirt Size (ADULT SIZING) * XS S M L XL 18. Parent/Guardian's First Name * 19. Parent/Guardian's Last Name * 20. Parent/Guardian's Phone Number * 21. Parent/Guardian's Address * 22. How did you hear about this program? * Additional Information 23. Participants GPA as of Fall (Include scale: i.e. 3.5 on a 4.0 scale) * 4/7

5 24. What first sparked your interest in cybersecurity? * 25. Why do you want to attend the program? * 26. What do you see yourself doing in 3 5 years? * 27. Please list all relevant math, cybersecurity, technology, and computing courses taken as of Spring * 5/7

6 28. Please list additional computing and cyber experience (including any training, skills, proficiencies, networking, Cisco Academy, Java Programming, previous Cyber camps etc). * 29. Attach Unofficial Transcript (or you can a copy to mcwic@cs.umd.edu) Files submitted: 30. Use this space below to share any additional information with us. Reference Lists Please provide the name of computing, cybersecurity, math, or science teacher who can complete a short form about your camper. Ån additional reference can be provided, but is not required. 31. Reference 1 First Name * 32. Reference 1 Last Name * 33. Reference 1 Title * 34. How does Reference 1 know the student? * 6/7

7 35. Reference First Name * 36. Reference 2 Last Name * 37. Reference 2 Title * 38. How does Reference 2 know the student? * 39. Reference 2 * Powered by 7/7