Two girls wearing a lab coat, gloves, and goggles

Applications for 2024 are now closed.

Apply for MSU Explore: Earth & Space Science Camp

Student Information

*Indicates Required Information

*Student First Name:

Student MI:

*Student Last Name:

*Address:

Address, line 2:

*City:

*State or Province:

*Zip/Postal Code:

*Student Phone:

Student Email:

* T-Shirt Size (Adult):

Special Needs:

School and Birthday

*School you will
attend in 2024-25:

*Grade in Fall 2024:

Are you from
a family in which
neither parent is a
college graduate?:

Do you qualify
for a free or
reduced lunch
at school?:

*Birthday:
(Use mm/dd/yyyy)

Gender and Ethnicity/Race

* Gender:

If "not listed above," please specify:

We ask for gender to help us assign residence hall rooms.

Ethnicity/Race:

Ethnicity/Race 2:

If you also identify with a second ethnicity/race, please use the dropdown list below.

Ethnicity/Race 3:

If you also identify with a third ethnicity/race, please use the dropdown list below.

If you selected "other" for any of the three above dropboxes, please specify:

Parent Information

*Parent Name(s):
(First and Last)

*Email:

Home Phone:

Work Phone:

*Cell Phone:

Contact information
(name, phone numbers
and email) for
a second parent:

Comments

Any additional
comments: