SoundBio Lab: Teens Teaching Teens CompBio Student Instructor Application
Student Info
Student Name
*
First Name
Last Name
Student Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Adult Contact Information
Name
*
First Name
Last Name
Relationship
*
Please Select
Mother
Father
Grandparent
Aunt
Uncle
Sibling
Babysitter/Nanny
Other
E-mail
*
example@example.com
Phone Number
*
Emergency Contact's Name
*
First Name
Last Name
Personal Information
What gender do you identify with?
*
Please Select
Female (she/her/hers)
Male (he/him/his)
Non-binary (they/them/their)
Prefer not to answer
My option is not listed above
If your gender identity or pronouns are not listed, please list them here.
What racial/ethnic group do you primarily identify with?
*
Please Select
Asian/Asian American
Black/African American
Hispanic American/Latino(a)
Native Alaskan
Native American
Pacific Islander
White/Caucasian
Mixed: Asian and White
Mixed: Black/African American and White
Mixed: Hispanic and White
Multiracial (or Mixed not listed above)
My option is not listed
Prefer not answer
If your racial/ethnic group is not listed, please write it in.
Are you part of the first generation in your family to be college bound?
*
Please Select
Yes
No
No, but my family member(s) went to college in another country
Not sure
Prefer not to answer
Do you qualify for free or reduced meals at your school?
*
Please Select
Yes
No
Not sure
Prefer not to answer
Are you a person living with disability?
*
Please Select
Yes - I have, or previously had a disability
No
Unsure
Prefer to not answer
Do you know anyone who is a scientist or who works in research?
*
Please Select
Yes
No
Not sure
Prefer not to answer
What grade are you in (2020-2021 school year)?
*
Please Select
6th
7th
8th
9th
10th
11th
12th
College Year 1
College Year 2
College Year 3
College Year 4
Have you taken high-school level biology?
*
Please Select
Yes
Not yet
I took a life science course but it wasn't biology
I have taken some classes, but it wasn't in school
Are you in college or do you plan on going to college?
*
Please Select
Yes, I'm in a community college
Yes, I'm in a university
Yes, I plan to go to a community college
Yes, I plan to do to a university
No
Unsure
Student Agreement
Please indicate your commitment to participate in the entire program if selected.
*
I understand that attendance and full participation in all days of the program is MANDATORY for all students accepted, I commit to attending the entire program.
Short Answer Questions
What is one activity you feel you are really good at? (Examples: could be school related but could also be cooking, skateboarding, video games, listening to friends’ problems, etc). Tell us a little about your expertise in this area!
*
Have you ever taught the activity you listed above to someone else? Have you taught, tutored, or mentored in the past? It doesn’t have to be related to science (for example, cooking, art, skills).
*
Is there a particular topic in science that interests you and why?
Why are you interested in this Program? What do you hope to take away from this experience?
What do you think you can contribute to this program?
*
Optional: Anything else you’d like us to know about you?
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