3D Printing Camp Interest Form
Thank you for your interest in our 3D Printing Boot Camp Jan. 20-24, 2025! This camp will be for individuals aged 18 - 24 who are not attending High School at this time. Please complete the following interest form to help us learn a little about you to determine eligibility and services. All answers are confidential and will not be shared. This Camp will be filled based on a first come, first served basis for those who are eligible.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Where do you live?
*
Alleghany County
Botetourt County
Covington City
Craig County
Franklin County
Roanoke City
Roanoke County
Salem City
Other
Age
*
Which of the below describes your current school status?
*
Please Select
High school student
High school graduate
I am not attending high school and I did not graduate
Do you or your family receive benefits through Social Services? (i.e. Food Stamps (SNAP), TANF, etc.)
*
Please Select
Yes
No
Have you ever been involved with the justice system?
*
Please Select
Yes
No
Please describe your involvement with the justice system.
*
Do you consider yourself to be homeless or a runaway?
*
Please Select
Yes
No
Are you currently in foster care or have you aged out?
*
Please Select
Yes
No
Do you/did you have an IEP or 504 plan in high school?
*
Please Select
Yes
No
What is your first/primary spoken language?
*
Please Select
English
Spanish
Chinese
Korean
French
Vietnamese
Arabic
Persian
Other
Do you have any children/are you pregnant?
*
Please Select
Yes
No
Submit
Should be Empty: