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The Mathematica Summer Camp is for high school students entering grades 11 or 12 who have taken advanced mathematics, science, or computer science courses.

Note: This is the first step of the application process. Within three weeks of submitting this form, you will receive a problem set to complete. Your application will be reviewed after you complete the problem set.

Student Information
* Required

First name*

Last name*

Phone number*

Date of birth*

/ /

Gender*For housing

Male Female

Address line 1*

Email*

Address line 2

School name*

City*

State/Province*

School city*

School state*

Country*

ZIP/Postal code*

Grade completed as of July 2014*

Name of Parent/Guardian*

Phone number*

Extracurricular activities

Math, science, and computer science courses taken

Parent/Guardian email*

Awards/Honors

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