GenCyber Application Applicant's Information Please fill in all the required fields. First Name Last Name Email Address Cell Phone Our primary method of correspondence is through email. Please use an e-mail address that you check on a daily basis even after the school year is completed. Address City/Town State Zip Code Have you ever participated in a GenCyber Teacher Camp before? Yes No Not sure School Information In what school district do you teach? In which school? What courses/subjects do you teach? Which grades do you teach? Please also include the grades that you will be teaching next Academic Year. Self-Assessment How would you rate yourself on your current knowledge of cybersecurity in general? No knowledge Minimal knowledge Adequate knowledge Superior knowledge For example, knowledge in the area of cryptography, social engineering, network security, Internet safety etc. Do you have any programming or IT experience? If yes, please explain briefly. text/htmltext/x-web-textile Could you please let us know why you are interested in the GenCyber Camp? (120 words minimum) text/htmltext/x-web-textile A letter of support from your school administrator All applicants must also include a letter of support from their school administrator. Please use this support letter. Upload your letter of support here: If you are unable to obtain the letter of support at the time of submission, please email it to gencyber@york.cuny.edu by June 30. How did you hear about us? Please let us know how did you hear about the York GenCyber Program. ________________________________________________ If I am selected to participate in this camp, I understand that I will receive a stipend of $1,000 upon successful completion of the camp (including pre/post camp activities). I understand that I will need to submit some financial forms to York College so that I can receive my stipend check. I understand that I need to complete 12-hour pre-camp and 12-hour post-camp activities and surveys. I understand that I need to comply with the York College campus access procedures to attend the summer camp session. By submitting this application, I certify that the information contained in my scholarship application is true and correct. Submit