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2024 DUKE Leadership & Energy Careers Camp for Young Women- Application

1. Personal Information *This question is required.

First Name

Last Name

High School

Grade Will You Be Entering in Fall 2024 (*Applicants should be rising sophomores, juniors, or seniors.)

Home Address

Apt

City

State

Zip

Email Address

Mobile Phone

2. Parent/Guardian Contact Information *This question is required.

Parent/Guardian #1 Name

Relationship to Student

Parent/Guardian #1 Email Address

Parent/Guardian #1 Phone Number

3. Parent/Guardian Contact Information

Parent/Guardian #2 Name

Relationship to the Student

Parent/Guardian #2 Email Address

Parent/Guardian #2 Phone Number

4. With which gender do you identify? *This question is required.

Female
Male
Other: Please enter an 'other' value for this selection.
Prefer not to answer

5. Please specify your ethnicity (check all that apply):
*This question is required.

Asian
Black /African American
Caucasian
Latino or Hispanic
Native Hawaiian or Pacific Islander
Native American/ Alaskan Native
Prefer not to answer
Other: Please enter an 'other' value for this selection.

6. Tshirt Size (unisex fit) *This question is required.

7. Have you ever been a NaviGo Scholar? *This question is required.

What NaviGo Scholars group did you participate in? *This question is required.

8. What type of career interests you at this time? *This question is required.

9. Have you had any experiences or taken any classes that increased your knowledge and interest in leadership or energy careers? Please explain. *This question is required.

10. What do you hope to gain from being part of the Leadership & Energy Careers Camp for Young Women? *This question is required.

11. Why should Duke Energy select you to be part of the Leadership & Energy Careers Camp for Young Women? *This question is required.

12. Will you have transportation to the camp location?
Duke Energy Kellogg Gas Operations Center
4612 Kellogg Avenue, Cincinnati, OH 45226 *This question is required.