Pre-College Summer Day Program 2026

Round

Created

Submitted

Term

Participant Contact and Personal Information

Participant's First Name (Please use proper capitalization for names!)

Participant's Preferred Name

Participant's Middle Name

Participant's Last Name

Participant's Mobile Phone

Participant's Email Address

Participant's Mailing Address (Please note program is available to residents of Windham, New London, Groton, and Norwich)

Country

Street

City

Region

Postal Code

Parent/Guardian Type

Parent/Guardian First

Parent/Guardian Last

Parent/Guardian Mobile Phone

Parent/Guardian Email Address

Sex

Participant's Birthdate

Are you Hispanic or Latinx

Yes

No

Education

In Fall 2026, I will be entering

Current School Attending

CEEB

Current Grade Point Average (GPA)

Please list the highest level of education for Parent/Guardian 1.

Less than a high school diploma

High school diploma

2-year college degree (Associate's)

4-year college degree or beyond (Bachelor's or Master's)

Prefer not to answer/Not Applicable/Not sure

Please list the highest level of education of Parent/Guardian 2.

Less than a high school diploma

High school diploma

2-year college degree (Associate's)

4-year college degree or beyond (Bachelor's or Master's)

Prefer not to answer/Not Applicable/Not sure

Program Selection

Please identify which program (s) you would like to request. Registration will be processed on a first come, first serve basis.

Which program is your first choice option? (Monday, July 13th to Friday, July 17th)

Resilience: The Science of Grit and Overcoming

Human Biology Lab

Intro to Filmmaking

If your first choice is not available, please select any other programs you would be willing to participate in. (Monday, July 13th to Friday, July 17th)

Program Submission

By submitting my application, I agree to have an Eastern ID & account generated and that participation in this program has the support of the participant's parent or guardian.

Yes, I agree.

No, I do not agree.