C34G Summer Camp Interest Form

Cool Careers in Cybersecurity Summer Camps provide students with the information and skills necessary to navigate the professional pipeline in the vast fields of Cybersecurity, as well as, other science, technology, engineering, and mathematics (STEM) fields.

We are thrilled you are interested in bringing this great program to your community.Please fill out this form and we will keep you posted on important information around opportunities with Cool Careers in Cybersecurity Summer Camps.

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* 1. First Name

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* 2. Last Name

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* 3. Please provide the email address you check most frequently and double check that you've entered it correctly!

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* 4. Second Email Address
Do you have a second email address…just in case

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* 5. Phone Number

Please provide the best phone number to reach you.

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* 6. Note: If you have not already done so you may want to review the Host Organization Key Responsibilities found in the Clubs/Programs: Host a Camp section of the website.

I am interested in:
Note: A working knowledge about computers is required to be a volunteer instructor.

Volunteering to be an instructor at a C34G Summer Camp

Being a guest speaker at a C34G Summer Camp

Hosting a field trip for a C34G Summer Camp

Starting a C34G Summer Camp at my school

Starting a C34G Summer Camp at my organization (4H, Girl Scouts, Library)

Other (please specify)

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* 7. I am currently a(n)

College/University Faculty Member

Non-profit Organization Leader

Tech Professional

Non-Tech Professional

Teacher / School Administrator

Other (please specify)

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Please provide the email address you check most frequently and double check that you've entered it correctly!

Question Title

* 4. Second Email Address Do you have a second email address…just in case

Question Title

* 5. Phone Number Please provide the best phone number to reach you.

Question Title

* 6. Note: If you have not already done so you may want to review the Host Organization Key Responsibilities found in the Clubs/Programs: Host a Camp section of the website. I am interested in: Note: A working knowledge about computers is required to be a volunteer instructor.

Question Title

* 7. I am currently a(n)

* 4. Second Email Address
Do you have a second email address…just in case

* 5. Phone Number

Please provide the best phone number to reach you.

* 6. Note: If you have not already done so you may want to review the Host Organization Key Responsibilities found in the Clubs/Programs: Host a Camp section of the website.

I am interested in:
Note: A working knowledge about computers is required to be a volunteer instructor.