SummerLab 2025 Initial Interest Form

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

Session 1: Gene Editing in Human Disease, July 7-July 18 (waiting list)
Session 2: Gene Editing in Human Disease, July 14-July 25
Session 3: Gene Editing in Human Disease, July 21-August 1 (waiting list)
Session 4: Gene Editing in Human Disease, July 28-August 8

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, 2025 in order to attend. There are no exceptions to this Boston University policy.

Address(Required)

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

Student's Email(Required)

Name of High School(Required)

Grade student will enter in Fall 2025(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 will contact you by email/phone for verification and will provide the discount code at that time.

Free/Reduced Lunch Discount

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email

Email Address (Parent/Guardian)(Required)

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.

Today's Date(Required)

Please enter today's date as mm/dd/yyyy.

Accommodations(Required)

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

Yes, please contact me.
No

How did you hear about SummerLab?(Required)