Student Name *

First Name

Last Name

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone Number *

Country

(###)

###

####

Have you taken any AP classes? *

Yes

No

Do you have any prior commitments during the program dates? If yes, please specify how you will balance them. *

Yes

No

Do you have any specific needs or accommodations we should be aware of to better support your participation? *

Yes

No

Availability Acknowledgement *

I can commit 3–5 hours per week for virtual project work during my selected program dates

Program Terms & Payment Acknowledgement *

I have reviewed the program brochure and website, understand the Terms & Conditions, and can submit the program fee by the deadline provided in my acceptance email.