APPLICATION – Cybermath

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*
If student is under 13 and/or does not have an email address, please use a parent's email address.
Student's Phone Number*
Student's Gender
- Female
- Male
Grade Level*
Please select the most recent grade level which you will have completed as of July 17, 2023. (For example, if you are a high school graduate in the Class of 2023, please select "12th grade." If you are a rising high school freshman, please select "8th grade.")
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 most like to attend. Note that this is only an indication of preferred class, and that students are not guaranteed to be placed into their chosen classes; final class placements will be decided based on the information you have provided in the school information and "Student's Academic Background" sections, as well as performance on the placement exam(s). (If you would like to switch into another class before or during the camp, please email [email protected]) Please also note that enrollment in Advanced Middle School Math is restricted to those students who have not yet begun (the equivalent of) 9th grade. If you are in high school, and select an Advanced Middle School Math course, we will automatically convert your choice to Advanced High School Math Foundations.
- Advanced Middle School Math (Foundations)
- Advanced Middle School Math (Mastery)
- Advanced High School Math (Foundations)
- Advanced High School Math (Mastery)
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, or is taking, with grades. Any after-school courses or camps attended should also be mentioned here.
How did you hear about us?
- Attended CyberMath camps/courses before
- Flyer from school
- Word of mouth
- Other brochure/flyer
- Another website
- Facebook
- Baidu/Weibo
- Agent referral
- Recommended by my teacher/counselor/administrator
- Internet search
Name of Agent
Please provide the name(s) of the agent(s) who referred you to CyberMath.
Website Name
Please tell us on what website you came across CyberMath.

Summer Camp Application