There are 31 of 100 registrations available.
* denotes a required field
Welcome Camper! We are excited to have you with us July 14 - 19 at Grand Valley State University. Our College Prep Summer Simulator is an opportunity for you to learn about what it is like to be a college student while also enjoying fun activities around the Grand Rapids area! To make sure we give you the best experience possible, please read through and answer this form carefully. We will be using it to gather information about you so that we can ensure you can participate in all the fun while also making sure you are safe and have access to everything you may need while you are with us! Please make sure that the email you provide is the email that you check the most! We will be sending out super important information for your camp experience and we don't want you to miss out on any of it!
Email *
Completing this form will serve as a confirmation that you will be attending the College Prep Summer Simulator Program from July 14 to July 19. This form serves as your placeholder in our program, as we do have a maximum amount of students we can admit. If at any point you would like to retract your confirmation and your spot in the program, please contact Shelby Powell at [email protected] so that we can ensure another student has the opportunity to attend.
I understand that the completion of this form serves as my confirmation of attendance and place holder in the CPW Program. I also understand that if I no longer plan on attending, I am to retract my confirmation by contacting Shelby Powell. * Yes, I understand and will be attending camp. No, I don't understand and will contact Shelby Powell regarding this issue.
Legal First Name *
Legal Last Name *
Your preferred name/nickname and pronouns are what all campus staff will use and respect.
Preferred Name or Nickname
Pronouns *
Please indicate your sex as it is indicated on legal documentation such as your ID or insurance. This will only be used in case of emergencies in order to provide critical information to first responders and to place students in room assignments as GVSU Housing requires that assignments are made on the basis of sex, not gender.
Sex assigned at birth/legal sex marker * Male Female Intersex
What grade will you be going into this upcoming fall? * 10th - Sophomore 11th - Junior 12th - Senior
What school do you attend? * - Select Option Black River Public School Middle/High Byron Center Charter School Canton Preparatory High School Covenant High School Central Covenant High School East Covenant High School Grand Rapids Covenant High School Southwest Covenant Schools Detroit - Spectrum Site Crossroads Charter Academy Middle/High GEE Compass Academy Grand River Preparatory High School Kalamazoo Covenant Academy Lincoln-King Adams-Young Academy High School Michigan Mathematics and Science Academy Muskegon Covenant Academy PrepNet Virtual Academy Saginaw Covenant Academy Taylor Preparatory High School The Greenspire High School University Prep Science and Math University Preparatory Academy University Preparatory Art & Design West Michigan Aviation Academy Westfield Preparatory High School
What is your t-shirt size? * S M L XL 2XL 3XL
If you are a student from/near the Detroit area, will you be riding the bus? The bus will pick up and drop off at University Preparatory Academy - 600 Antoinette St, Detroit, MI 48202. Times will be shared to the students who sign up for transportation. * Yes, I need roundtrip transportation Yes, I only need a ride TO camp Yes, I only need a ride back FROM camp No, I do not need transportation
It is important that we know of any allergies or restrictions you have so that we can be sure to keep you safe and accommodate any needs. We also will be collecting medications at student check-in as not only a safety measure to ensure that you and your medications stay safe, but also to ensure that you have access to your medications whether we are on or off Grand Valley's campus. Our camp nurse will be distributing the medications at the time you need them each day of camp! The medications will all be labeled with your name, the medication name, when and how often you take it, and the amount you need at each dose. We will also have over-the-counter medications such as Tylenol, Motrin, Cough Medicine, etc. available to any student that needs it in our camp supplies.
List any and all Allergies and/or Restrictions - medication, food, latex, bee stings, etc. *
List any and all pre-existing medical conditions. *
Do you take any medications? (Over-the-counter pain meds such as Tylenol are not included and can be kept with you) * Yes No
List any and all prescriptions/medications you are currently taking . *
Do you understand that you will need to meet with the camp nurse at check-in to give them your medications as well as provide them with your dosage and the times that you will need to be given the medications? * Yes, I understand No, I do not understand and will contact Shelby Powell regarding this issue
Will you need any other accommodations while you are at camp (a wheelchair, accessible bathroom, etc.)? *
Is there anything else we should know about you regarding your health and wellbeing? *
Upload a picture of the front of your insurance card. * Please upload a file with the extension .bmp, .gif, .jpeg, .jpg, .png, .tiff, or .webp with a maximum size of 3 MB (3072 KB)
Emergency Contact #1
First Name *
Last Name *
Relation to you (Ex: Mother) *
Phone *
Work Phone Number
Emergency Contact #2
Relation to you (Ex: Father) *
During camp we will be participated in a number of fun activities! GVSU as well as the locations these activities will be hosted require liability forms to be completed. Below are the forms we will need to be completed, signed, and submitted before camp. You can find all of the forms on our website here: 2024 College Prep Week Forms and Activities
Please indicate how you will be returning all forms * Via in this form Via Email - Shelby Powell poweshel@gvsu.edu Via Mail - Charter Schools Office 401 Fulton Street W Grand Rapids, MI 49504-6431 Via High School Counselor Via GVSU Admissions Rep
Upload Minor on Campus Form Please upload a file with the extension .doc, .pdf, .rtf, .pages, .docx, .odt, .pub, or .txt with a maximum size of 3 MB (3072 KB)
Upload Media Release Form Please upload a file with the extension .doc, .pdf, .rtf, .pages, .docx, .odt, .pub, or .txt with a maximum size of 3 MB (3072 KB)
Upload Battle GR Form Please upload a file with the extension .doc, .pdf, .rtf, .pages, .docx, .odt, .pub, .bmp, .gif, .jpeg, .jpg, .png, .tiff, .webp, or .txt with a maximum size of 3 MB (3072 KB)
Upload 3 Mile Project Form Please upload a file with the extension .doc, .pdf, .rtf, .pages, .docx, .odt, .pub, or .txt with a maximum size of 3 MB (3072 KB)
Upload Sustainable Agriculture Project Beekeeping Form Please upload a file with the extension .doc, .pdf, .rtf, .pages, .docx, .odt, .pub, .bmp, .gif, .jpeg, .jpg, .png, .tiff, .webp, or .txt with a maximum size of 3.5 MB (3584 KB)
While you are at camp, you will be sharing a room with a roommate! To make that process a little easier, we want to know more about you so that we can try and find you a perfect match for the week!
Do you have a request for a specific person to room with? If yes please list their first and last name below. If no please enter "N/A" or "No". *
Is your room usually more messy or more clean? * Messy Clean
Do you like to sleep in a room that is cooler or warmer? * Cooler Warmer
Does noise when you are sleeping bother you? (example the sound of a fan, white noise, music, etc.) * Yes No
Are you an early riser or a night owl? * Early Riser Night Owl
Do you prefer to spend your downtime by relaxing quietly or socializing with others? * Quiet Time Social Butterfly
Please visit our website, 2024 College Prep Week Form and Activities, before selecting each activity to get a better understanding of what you will be doing.
Monday RecWell Activity Choice * Dance Studio Fitness Studio Courts 6, 7, 8 Rock Climbing Center
Tuesday Morning Career Exploration - 1st Choice * E-Gaming SAP (Sustainable Agriculture Project)
If you selected E-Gaming, select all the games you would be most interested in playing. * Valorant Fortnite Rocket League League of Legends Teamfight Tactics Minecraft Call of Duty Call of Duty: Warzone Overwatch 2 Rainbow Six Siege Hearthstone Legends of Runeterra Aim Labs Counter-Strike 2 PUBG Multiversus Fall Guys Apex Legends Super Smash Bros. Ultimate Roblox Lethal Company
Tuesday Afternoon Downtown Choices
As we are fully booked for camp, we may not be able to accommodate everyone's first choice of activities. With this in mind, please select your top 3 choices for Grand Rapids activities and we will do our best to make sure everyone participates in an activity they will enjoy!
Tuesday Afternoon Grand Rapids Activity - 1st Choice * Brush GR Grand Rapids Public Museum Ferris Coffee Lab
Tuesday Afternoon Grand Rapids Activity - 2nd Choice * Brush GR Grand Rapids Public Museum Ferris Coffee Lab
Tuesday Afternoon Grand Rapids Activity - 3rd Choice * Brush GR Grand Rapids Public Museum Ferris Coffee Lab
Human Verification *