CyberMath Academy

Parent's First Name*

Parent's Last Name*

Parent's Email Address*

Parent's Phone Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student's Name*

First Last

Student's Email Address*

Student's Phone Number*

Student's Gender

Female
Male

Grade Level*

School*

Name of the school that student attends.

Information on Student's School

Please provide information on the school that student attends. Please be as detailed as possible.

Desired Camp Location*

Harvard University

Choose Your Camp*

Please choose the camp you would like to attend.

Advanced Middle School Math with MathCounts/AMC 8-10 Problems
Advanced High School Math with AMC 10/12 and AIME Problems
AI Camp

Attendance Type*

Day Student
Residential

Student's Academic Background*

This part is very important! Our admission decision will be largely based on this part. Please list all relevant course(s) that the student has taken, is taking with grades. Any after-school courses or camps attended.

How Did You Hear About Us?

Name of Agent

Please provide name of agent referred you to CyberMath

Website Name

Please tell us on what website you came across CyberMath.

Summer Camp Application

2022 Summer Camp Application