2026 SummerLab Initial Interest Form

Please select the session(s) that you want to attend.(Required)

Session 1: Gene Editing in Human Disease, July 6-July 17 (Waiting List)
Session 2: Gene Editing in Human Disease, July 13-July 24
Session 3: Gene Editing in Human Disease, July 20-July 31
Session 4: Gene Editing in Human Disease, July 27-August 7

NOTE: Students may only attend one SummerLab session. If you are able to attend more than one session, please check multiple boxes and we will contact you to let you know which session(s) are available when we receive this form.

Name of Student(Required)

First Last

Preferred Name/Nickname

Date of Birth(Required)

NOTE: Students must be 15 years old by June 30, 2026 in order to attend. There are no exceptions to this Boston University policy (https://www.bu.edu/research/forms-policies/policy-on-minors-in-laboratories/- See Access to Laboratories section).

Address(Required)

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

Student's Email(Required)

Please do not use hotmail.com email address.

Re-enter Student's Email or Provide Secondary Email(Required)

Please do not use hotmail.com email address.

Name of High School(Required)

Grade student will enter in Fall 2026(Required)

Student Gender Identity/Expression

Please feel free to share more information about your gender identity and/or expression that you want SummerLab educators to know.

Scholarships - please check box ONLY if eligible

We offer a 50% scholarship to students who qualify for the Federal free/reduced lunch program at school. We also offer a 50% scholarship to City of Boston residents/Boston Public Schools students. Upon submission of this form, we will contact you by email to request a copy of your 2025 tax return(s) for income verification and address verification or a BPS grade report/transcript. Upon receipt and review, we will provide a discount code that you can use to make payment(s).

Free/Reduced Lunch Discount
City of Boston Resident/Boston Public Schools Student

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Please do not use hotmail.com email address.

Re-enter Parent/Guardian Email or Provide Secondary Email(Required)

Please do not use hotmail.com email address.

Parent/Guardian Electronic Signature(Required)

As this student's parent or guardian, I give my son/daughter permission to attend the CityLab Biotechnology SummerLab Program.

Learning/ADA Accommodations(Required)

Do you want a member of the SummerLab team to contact you after acceptance to discuss learning and/or physical accommodations that will enable you to fully participate in this program?

Yes, please contact me.
No

How did you hear about SummerLab?(Required)

Today's Date(Required)