PNW GenCyber 2024 Student Camp Application

The Department of Computer Information Technology and Graphics at Purdue University Northwest is offering a 1-week free Lilly Cybersecurity Summer Camp for High School students in June 2025 (June 16 - June 20, 10:00 am-3:00pm). The camp will be held in the Anderson Building at the Hammond Campus. Lilly Cybersecurity Summer Camp will immerse you in learner-centered, hands-on labs and game play activities, including cybersecurity awareness education game play, VR game customization, robot game design, ethical hacking labs and cyber forensics cases.

Please complete and submit this form to register.

Student First Name:

Student Last Name:

Student Middle Initial:

Student's Email Address:

Home Street Address:

City:

State:

Zip Code:

Parent/Guardian First Name:

Parent/Guardian Last Name:

Parent/Guardian Middle Initial:

Phone Number (Parent/Guardian):

Email Address (Parent/Guardian):

High School Name:

High School City/State:

High School Grade:

T-Shirt Size:

Small
Medium
Large
X-Large

Dietary Restrictions:

None
Vegetarian
Food Allergy (Details Below)

Food Allergy Details (If Any)

Please write 1-2 paragraph short essay explaining why you are interested in Lilly Cybersecurity Summer Camp. (Required)

Can you attend every day of camp from Monday through Friday?

Yes
No

If you cannot attend every day of camp, please explain