Cape Cod Community College: Summer of Science Student Application - Summer 2025

General Information

Thank you for your interest in our Summer of Science Programs. Please complete the entire application form. If you have any questions, please contact Val Duffy at workforce@capecod.edu or call 508-375-5018.

Paper applications are available upon request at workforce@capecod.edu.

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* 1. Please select the week/s the student would like to attend the program.

Ocean Detectives (for students entering grades 6, 7, and 8)
Date: July 28, 2025 - August 1, 2025
Location: Cape Cod Community College Main Campus, W. Barnstable
Cost: $399 per student

Soaring into Aviation (for students entering grades 7, 8, and 9)
Date: August 11, 2025 - August 15, 2025
Location: Cape Cod Community College's state-of-the-art Aviation Maintenance Facility at the Plymouth Municipal Airport
Cost: $399 per student

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

Student Name:

Parent/Guardian Name:

Home Address:

City/Town:

State:

Zip Code:

Parent/Guardian Email:

Cell Phone:

Home Phone:

Work Phone:

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* 3. Please provide the following information about the student's school.

School Name:

School Address:

City/Town:

State:

Zip Code:

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* 4. Student's Date of Birth.

MM/DD/YYYY

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* 5. Student Gender

Female

Male

Prefer not to say

Prefer to self-describe:

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* 6. In the fall of 2025, this student will be entering grade:

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* 7. 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)

Prefer not to answer

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* 8. Please briefly describe the student's interest in learning more about the selected summer of science program/s.

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* 9. Primary Emergency Contact Information. If an item does not apply, please type NA in the box.

Name:

Relationship to student:

Address:

City/Town:

State:

Zip:

Cell Phone:

Home Phone:

Work Phone:

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* 10. Secondary Emergency Contact Information. If an item does not apply, please type NA in the box.

Name:

Relationship to student:

Address:

City/Town:

State:

Zip:

Cell Phone:

Home Phone:

Work Phone:

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20% of survey complete.