Full Name of Student *

First Name

Last Name

Gender *

Male

Female

Phone Number *

WhatsApp Preferred

Country

(###)

###

####

How would you describe your experience level? *

Beginner- I am new to coding, robotics, or design

Intermediate- I have done some STEM before or attended a program

Advanced- I have taken multiple classes or build personal projects

Elective Course Preferences *

Choose your top 2 Elective choices in order of preference (students will be assigned 1 based on availability)

Game Design (Intermediate/Advanced only)

Augmented & Virtual Reality (AR/VR)

Cybersecurity

How did you hear about the program? *

Billboard

Radio

Social Media

Referral

Previous Student

Terms and Agreement *

Acknowledgment

I confirm that the information above is accurate.

I understand that full participation is required from July 21 to August 8, 2025