On-line Application

West KY 4-H Camp
Dawson Springs, KY
September 15-16 2005
Deadline to apply September 8
banner image for Summer 2005 Biotech Camp

Kentucky 4-H and the College of Agriculture are partnering to host a Biotechnology Camp. The camp is for interested youth who are entering the 7th or 8th grades this fall. Applicants do NOT have to be previously registered as a 4-H member. Cost to attend will be $10.00.

Complete these steps to register:

1.)Get a letter of recommendation (electronic format) from an adult who knows you, telling why you should be chosen to attend this camp. Attach that file to an email to this address: triley@uky.edu - in the subject of the email type:"West Biotech Camp" and your last name.

2.)Complete the online form below. Please fill in all the fields and answer all the questions. When you are finished please click the "Submit" button once. If you want to start over click the "Reset" button.

Applicant Info
Participating as:
 


First Name:
  
Last Name:
 
Street Address:
  
City:
  
State
  
ZIP:
  
County:
  
Phone:
  
E-mail:
 
Age:
  
Gender:
   Male Female
Ethnicity:
  

Your Qualifications 1. How would you rank your level of of knowledge of Biotechnology? Please choose one from the options below:





2. Describe what you think "biotechnology" means.


3. In fifty words or less, explain: a.) why you think you should selected to attend the biotechnology camp, b.)what you expect to learn, and c.) how this camp will benefit you.