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Summer Camp Interest Form

We'd like to tell you more so please complete this form, and a member of the admissions staff will be contacting you when summer 2024 camp registration goes live.

*Required Fields

STUDENT INFORMATION

*Student First Name

Student Preferred First Name (used in official communications)

*Student Last Name

Student Email Address

*Student Birthdate

*Student Sex (as assigned at birth)

*Mailing Address

Country

Street

City

Region

Postal Code

PARENT INFORMATION

Relationship to Student

Parent First Name

Parent Last Name

Parent Email

ACADEMIC INFORMATION

*Student High School Graduation Year

ADDITIONAL INFORMATION

*How did you hear about South Dakota Mines?

If other, please describe:

Comments

South Dakota School of Mines & Technology
501 E. Saint Joseph St.
Rapid City, SD 57701
605-394-2511
800-544-8162 (toll free)