Language
English (US)
Spanish (Latin America)
REACH Catawba Participant Application Form
REACH Catawba participants will spend two incredible weeks learning about science topics in a natural environment. At no cost, participants will begin their two week dive into the environment by attending the National Environmental Summit for High School Students on the Catawba College campus, followed by a week-long, immersive backpacking trip to the mountains of North Carolina! These two weeks will provide participants with increased confidence, leadership development skills, a supportive community, and opportunities of a lifetime through learned experiences surrounding STEM topics in a natural environment.This two week program will run from July 9 - 21, 2024.
Please fill out this information for program participants only.
Applicant Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
What is your gender?
*
What are your preferred pronouns?
*
Are you a rising:
*
Please Select
8th Grader
Freshman
Sophomore
Junior
Senior
What is your school name?
*
Please list any science classes that you have taken. If you have taken none, please enter N/A in the fields below.
*
Back
Next
Why are you interested in attending the REACH Catawba backpacking program?
*
250 words
List four words that describe you.
*
For the following questions, select the best option that describes your experience.
*
No Experience...but I'm excited to try!!
Some experience
Lots of experience...I do this pretty regularly.
Ever hiked?
Ever camped?
Ever car camped?
Ever backpack camped?
In your opinion, what does it mean to backpack camp?
*
250 words
List three words that describe a good leader.
*
Give a brief explanation of why you chose these words.
*
250 words
Describe a time when you had to be a leader in a group.
*
500 words
Please describe how your background, experiences and aspirations align with REACH Catawba's mission to increase diversity and representation in STEM fields. Highlight any challenges you have faced or overcome and explain how participating in the REACH Catawba program will contribute to your personal and academic growth.
*
500 words
Back
Next
References
Reference etiquette is crucial in maintaining professional relationships. When requesting a reference, it's important to ask permission first and provide relevant information about the position or activity you're applying for. After receiving a reference, always express gratitude and keep your referees updated on the outcome of your application. References should be emailed to reach@catawba.edu and should be emailed no later than April 15, 2024.
Reference 1
*
Reference 2
*
Back
Next
Demographic Information
We appreciate your interest in participating in REACH Catawba. Your responses will help us better understand our audience and improve our services. Please note that the following demographic questions are optional and will be used solely for statistical purposes. Your personal information will be kept confidential. Thank you for your cooperation.
Do you identify as Hispanic, Latino or Spanish?
Yes
No
What is your race? Please select all that apply.
White
Black or African American
Native American or Alaska Native
Asian
Native Hawaiian, Samoan, or other Pacific Islander
Other
Family Income
< $25,000
$25,000-$49,000
$50,000 - $74,000
$75,000 - $99,000
$100,000 - $149,000
> $150,000
Prefer not to answer
Highest education received by a parent/guardian:
No schooling completed
Some high school, no diploma
High school diploma
Trade/technical/vocational training
Some college, no degree
Associate degree
Bachelor’s degree
Master’s degree
Professional degree
Doctorate degree
Please verify that you are human
*
Submit
Should be Empty: