Information Request

Name (First Last)

Address . . . . . . . . .

City, State, Zip . . .

Country (if not USA) .

E-mail address . . . . .

Has student(s) tested through the Center's Talent Search?
If yes, date: As of:

Grade(s) of student(s) 1st, 2nd, 3rd, 4th, 5th, 6th, 7th, 8th, 9th, 10th, 11th.

Program Information (click in check box to indicate yes)

1. Talent Search -

   grades 2nd thru 4th (available year round)
   grades 5th & 6th (fall only)
   grades 7th & 8th (fall only)
   Schools: order Talent Search forms here

2. Summer Programs -
   • CTY Young Students--Residential Program, 5th & 6th Grade
     CTY Young Students--Day Program, 2nd-6th Grades
     CAA 7th Grade and Above
     CTY 7th Grade and Above
3. Center for Distance Education - Math Tutorials , Writing Tutorials
4. family conferences One-day weekend events held at college campuses throughout the country
5. Diagnostic and Counseling Center has services for schools and families.
6. Imagine, a periodical of Opportunities and Resources for Academically Talented Youth, subscription information.

When you are done filling in the information, select . Select to clear all the fields and start over (press "up arrow" a couple of times to get back to the q uestions). The request will be e-mailed to ctyinfo@jhu.edu of the Center's Information Services Department.

updated 14Dec05 shawn.downing