Summer Leadership Camp Application Army and Navy Academy is currently accepting applicants to its 2021 Summer Leadership Camp.Camper DetailsFirst Name*Last Name*Date of Birth* Date Format: MM slash DD slash YYYY Sex*--Select--MaleFemaleEntering Grade*--Select--6789101112What grade will the applicant be entering in the coming school year?Citizenship*--Select--United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweCitizenship Status*--Select--U.S. CitizenNon-U.S. CitizenGreen Card HolderSession ChoiceProgram*--Select--Introduction to Leadership (2 Week)Advanced Leadership (4 Week)Session*--Select--Session One (6/28/21 - 7/10/21)Session Two (7/12/21 - 7/24/21)Elective*LeadershipAviationEnglish for Speakers of Other LanguagesElective*LeadershipCybersecurityEnglish for Speakers of Other LanguagesElective*LeadershipCybersecurityEnglish for Speakers of Other LanguagesElective*LeadershipAviationEnglish for Speakers of Other LanguagesBoarding or Day*--Select--BoardingDayCamper ProfileWhat goals do you hope your camper will accomplish by attending our camp?*Describe your camper's school-year academic performance.*What are the camper's hobbies--music, sports, etc?*Has the camper earned any awards, medals, or certificates?*Has the camper experienced any recent life-changing events?*Has the camper ever had an IEP or 504?*--Select--NoYesIs the camper involved in any pending legal issues?*--Select--NoYesHas the camper had any serious behavioral problems at home or school?*--Select--NoYesHas the camper received any psychological services?*--Select--NoYesPlease describe the candidate's behavioral issues.*Please be advised that Army and Navy Academy is not a therapeutic institution or a reform institution.Please describe the scope of the psychological services the camper has received.*Please describe the legal issues in which the camper is involved.*Family InformationHome Address*Home City*Home State/Province*Home Postal Code*Home Phone*Home Country*--Select--United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweParent/ Guardian Marital Status*--Select--MarriedSingleSeparatedDivorcedDoes the camper reside at this address?*--Select--YesNoParent/Guardian Contact InformationAdult 1 - First Name*Adult 1 - Last Name*Adult 1 - Email* Adult 1 - Primary Phone*Adult 1 - Occupation*Adult 1 - Relationship*--Select--Parent - MotherParent - FatherLegal GuardianGrandparentAuntUncleOther Family MemberOtherAdult 2 - First NameAdult 2 - Last NameAdult 2 - Email Adult 2 - Primary PhoneAdult 2 - OccupationAdult 2 - Relationship--Select--Parent - MotherParent - FatherLegal GuardianGrandparentAuntUncleOther Family MemberOtherAdditional InformationArmy and Navy Academy admits students of any race, color, national and ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to campers.How did you hear about our Summer Leadership Camp?*--Select--AlumnusAMCSUSBingBoarding School ReviewCamp FairCounselor or TherapistCurrent CadetCurrent SchoolFacebookFriendGoogleIECA Educational ConsultantInstagramInternational AgentLearning SpecialistLinkedInLocal NewspaperLocal ResidentNew York Times ProfileNBC News ProfileParentSchool FairSD Consortium of Independent and Private SchoolsSummer Camp AdTABSTV NewsUnion Tribune SportsYahooYelpYouTubeDid you communicate with a staff member before applying?Please provide a first or last name.Race or Ethnicity (Optional)American Indian or Alaska NativeAsianBlack or African AmericanHispanic, Latino, or Spanish OriginNative Hawaiian or Other Pacific IslanderWhiteOther Race or OriginUse Ctrl key to select all that applyFinancial ResponsibilityPlease review our camp pricing options here before continuing.Responsible Party First Name*Responsible Party Last Name*Relationship to Camper*--Select--Parent - MotherParent - FatherLegal GuardianGrandparentOther RelativeOtherTuition and Fees* I have read and completely understand the session pricing outlined at the link above. Confirmation* As the applicant's Patron, Guardian, or Representative, I confirm that I agree with the following: I desire to enter the indicated camper as a participant in Army and Navy Academy's Summer Leadership Camp subject to the Academy's terms of payment and all prevailing rules and regulations. I understand that any misstatement or omission of material information made in this application or during the admission process may result in the revocation of an offer of admission to (or the dismissal of the applicant from) the Academy. I understand that acceptance of this application does not constitute a guarantee of enrollment. The applicant is physically able to perform camp duties as outlined in the Summer Leadership Camp's information systems and communications.CAPTCHA