Summer Scholars Registration Form

Please complete the registration below to participate in this summer’s program. Registrations must be completed in collaboration with a parent / guardian. For any questions about the program or requests for technical assistance, please email brian@calculatedgenius.org.

If you attend a CPS Early College STE(A)M School, please contact Sam Bernstein (scbernstein@cps.edu) for questions about payment. If you are a CTE student, please contact Angela Acevedo (amacevedo6@cps.edu) for questions about payment.

In which session do you wish to participate?

Session I // June 20 - 30, 2023

Session II // July 10 - 21, 2023

Student Name

First Name

Last Name

Student Phone

(###)

###

####

Student Email (Not a school email)

What high school do you currently attend?

Student Date of Birth

YYYY

What grade will you enter in the 2023-2024 school year?

9th Grade

10th Grade

11th Grade

12th Grade

Parent / Guardian Name

First Name

Last Name

Parent / Guardian Phone

(###)

###

####

Parent / Guardian Email

Secondary Emergency Contact Name

First Name

Last Name

Secondary Emergency Contact Phone

(###)

###

####

Secondary Emergency Contact Email

Tell us about yourself! What STEM field excites you the most?

In your own words, what does it mean to be a student-leader?

How have you been a student-leader in your school or community?

What do you hope to gain from participating Calculated Genius's Summer Scholars Program?

How did you hear about us?