Summer 2024 - Cape Cod Community College: GenCyber Deep Sea Challenge Student Application

General Information

Thank you for your interest in the GenCyber Deep Sea Challenge Program being conducted in July and August 2024 at Cape Cod Community College! The GenCyber Deep Sea Challenge Program is funded via a grant from the GenCyber Program housed at the National Security Agency.

In order to provide a quality experience, space in each of the summer sessions is limited. Please complete the entire application form. If you have any questions, please contact the GenCyber Deep Sea Challenge Program at GenCyber@capecod.edu or (508) 375-5010.

Paper applications are available upon request.

Question Title

* 1. Please select the week the student would like to attend the program or indicate if there is no preference. Students may attend only ONE week.

GenCyber Deep Sea Challenge - July 29-August 2, 2024

GenCyber Deep Sea Challenge - August 5-9, 2024

The student can attend either week

Question Title

* 2. If there are more applicants than spaces available, CCCC will start a waiting list in case spaces open up before the start of the program. Would you like your name put on a waiting list if necessary?

Yes

Question Title

* 3. Please provide the following contact information. If an item does not apply, please type NA in the box.

Student Name:

Home Address:

City/Town:

State:

Zip Code:

Parent/Guardian #1 Name:

Parent/Guardian #1 Email:

Parent/Guardian #1: Cell Phone:

Parent/Guardian #2 Name:

Parent/Guardian #2 Work Email:

Parent/Guardian #2 Cell Phone:

Question Title

* 4. Please provide the following information about the student's school. (Please note that this camp is for students currently attending Cape Cod region schools.)

School Name:

School Address:

City/Town:

State:

Zip Code:

Question Title

* 5. Student's Date of Birth.

MM/DD/YYYY

Question Title

* 6. Student Gender

Female

Male

Prefer not to say

Other (please specify)

Question Title

* 7. In the fall of 2024, this student will be entering grade:

Question Title

* 8. Does the participating student or did a participating student's parent/guardian ever participate in a school Free and Reduced Lunch Program?

Yes

Question Title

* 9. Does the participating student's family participate in any income assistance programs such as WIC, Food Stamps/SNAP, Medicaid, Supplemental Security Income (SSI)?

Yes

Question Title

* 10. Please indicate the race of the student participant. (Select all that apply)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Other (please specify)

Question Title

* 11. Please indicate the ethnicity of the student participant.

For grant reporting, Hispanic or Latino ethnicity is defined as a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

Hispanic or Latino

Non-Hispanic or Latino

Question Title

* 12. Please select the highest level of schooling either parent/guardian in the household has completed.

Less than 9th grade

9th-12th grade, no diploma

High school diploma/GED high school equivalency

Some college, no degree

Associates degree

Bachelor's degree

Master's degree or above

Other post-high school education (please specify):

Question Title

* 13. What is your student's skill level in programming or cybersecurity?

Beginner

Intermediate

Advanced

Question Title

* 14. Please briefly describe the student's interest in learning more about cyber security.

Page1 / 1

100% of survey complete.

Summer 2024 - Cape Cod Community College: GenCyber Deep Sea Challenge Student Application

General Information

Question Title

* 1. Please select the week the student would like to attend the program or indicate if there is no preference. Students may attend only ONE week.

Question Title

* 2. If there are more applicants than spaces available, CCCC will start a waiting list in case spaces open up before the start of the program. Would you like your name put on a waiting list if necessary?

Question Title

* 3. Please provide the following contact information. If an item does not apply, please type NA in the box.

Question Title

* 4. Please provide the following information about the student's school. (Please note that this camp is for students currently attending Cape Cod region schools.)

Question Title

* 5. Student's Date of Birth.

Question Title

* 6. Student Gender

Question Title

* 7. In the fall of 2024, this student will be entering grade:

Question Title

* 8. Does the participating student or did a participating student's parent/guardian ever participate in a school Free and Reduced Lunch Program?

Question Title

* 9. Does the participating student's family participate in any income assistance programs such as WIC, Food Stamps/SNAP, Medicaid, Supplemental Security Income (SSI)?

Question Title

* 10. Please indicate the race of the student participant. (Select all that apply)

Question Title

* 11. Please indicate the ethnicity of the student participant.For grant reporting, Hispanic or Latino ethnicity is defined as a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

Question Title

* 12. Please select the highest level of schooling either parent/guardian in the household has completed.

Question Title

* 13. What is your student's skill level in programming or cybersecurity?

Question Title

* 14. Please briefly describe the student's interest in learning more about cyber security.

* 11. Please indicate the ethnicity of the student participant.

For grant reporting, Hispanic or Latino ethnicity is defined as a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.