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CCIM+ Summer Workshops
Friday, June 21, 2024 until Sunday, June 23, 2024
Eastern Daylight Time UTC -04:00
Free grant-funded multimedia storytelling and esports workshops for middle school students!
CCIM is excited to offer FREE grant-funded summer workshops for middle and high school students. These workshops provide students an opportunity to explore college and career paths within the media and esports fields. Through a competitive application process, selected participants will stay overnight in a Ball State residence hall with all meals, drinks and snacks included. Students will participate in hands-on activities, learn new skills and partake in a variety of fun and engaging university programs introducing them to college and career paths within the media and esports fields!
The middle school workshop is for students going into grades 6, 7 and 8.
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Student level (hidden)
AC
GR
UG
Camper Information
First Name
Last Name
Mailing Address
Mailing Address
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Street
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Region
Postal Code
Email Address
(personal email, not school email)
Confirm Email Address
(personal email, not school email)
Phone Number
Do you give Ball State University permission to contact you via text message?
Yes
No
Birthdate
Ball State requests this information to confirm camp eligibility and for record-keeping purposes only.
Birthdate
Ball State requests this information to confirm camp eligibility and for record-keeping purposes only.
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Gender
Female
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X or another legal sex
Ethnicity is requested in order to fulfill reporting obligations to various funding grants. Ball State is committed to fostering a diverse campus community in which people from a wide variety of backgrounds, cultures, and perspectives respect and learn from one another. Our equal opportunity and affirmative action policy is available at
www.bsu.edu/legal
.
Are you Hispanic or Latino/a?
Are you Hispanic or Latino/a?
Yes
No
Race/Ethnicity
(select all that apply)
Race/Ethnicity
(select all that apply)
American Indian or Alaskan Native
Asian
Black or African American
Hawaiian or other Pacific Islander
White
Do you qualify for free/reduced lunch?
Do you qualify for free/reduced lunch?
Yes
No
Will you be a first-generation college student?
(This means that your parent(s) did not complete a 4-year college or university degree)
Will you be a first-generation college student?
(This means that your parent(s) did not complete a 4-year college or university degree)
Yes
No
Are you a 21st century scholar?
(If you are unsure, speak with a parent/guardian or your school counselor about your 21
st
Century Scholar status)
Are you a 21st century scholar?
(If you are unsure, speak with a parent/guardian or your school counselor about your 21
st
Century Scholar status)
Yes
No
Do you require special assistance?
Do you require special assistance?
Yes
No
Please select specific needs:
Please select specific needs:
Wheelchair assistance
Language interpreter
Sign language interpreter
Other
Other
Which Language?
Camp Details
Select one of the following workshop options:
Select one of the following workshop options:
Multimedia Storytelling
The Science of Esports
Please write a short narrative explaining how attending this free, grant-funded workshop would benefit your future college or career pursuits.
Requested Roommate
You may request one roommate. The requested roommate must also request you as a roommate. Both camper applicants must be accepted into the summer camp program to honor the roommate request.
Special Concerns
(include allergies or health concerns)
I will be parking a vehicle on campus during my camp visit
I will be parking a vehicle on campus during my camp visit
Yes
No
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School Information
Intended Graduation Year
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Middle or High School Name
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School Address
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Street
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Emergency Contact Information
Parent/Guardian Type
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Father
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Step-Father
Legal Guardian
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Email
Confirm Parent/Guardian Email
Parent/Guardian Phone
Emergency Contact Information #2
Parent/Guardian Type
Mother
Father
Step-Mother
Step-Father
Legal Guardian
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Email
Confirm Parent/Guardian Email
Parent/Guardian Phone
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