King Conservation Science Scholars
Online Application
Personal Information
Name:
*
First Name
Last Name
Pronouns:
*
She/Her
He/Him
They/Them
Other
Date of Birth:
*
-
Month
-
Day
Year
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ZIP Code:
*
Email Address:
*
example@example.com
Race/Ethnicity:
American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latina/Latino/Latinx
Native Hawaiian/Pacific Islander
White
Prefer not to respond
Prefer to describe
Race/Ethnicity:
*
American Indian or Alaska Native
Asian
Black or African American
Hispanic/Latina/Latino/Latinx
Native Hawaiian/Pacific Islander
White
Prefer not to respond
Prefer to describe
Please describe:
How did you find out about the King Scholars Program?
*
Person in Program
Another Group or Program
Social Media
Program Advertisement
Zoo Website
Google Search
School Counselor or Teacher
Community/Career Fair
King Scholar Alum
Employee of Brookfield Zoo
Other
Please share the name of the group or program.
*
Please explain how and where you heard or learned about the program.
Select the Social Media Platform.
*
Snapchat
TikTok
X (Twitter)
IG (Instagram)
Facebook (Meta)
YouTube
Threads
Podcast
WhatsApp
Please share the name of the King Scholar Alum.
*
Please share their name below. If you saw it on their social media, please feel share the social media platform or their real/first name below. (You do not have to share their or your social media handle).
Parent/Guardian Email Address:
*
example@example.com
School Information
What school are you currently attending?
*
Current Grade Level:
*
Please Select
8th Grade
9th Grade/Freshman
10th Grade/Sophomore
11th Grade/Junior
12th Grade/Senior
For your freshman year, which high school are you considering attending?
What is your anticipated graduation year?
*
2024
2025
2026
2027
2028
Self Reflection
I am interested in joining the King Conservation Science Scholars program because...
*
When I am older, I want to pursue a career in...? And why?
*
What are you most proud of right now in your life?
*
Confirmation of Interest
Please make sure to confirm the following with your application:
By checking this option, I am confirming that I have a strong interest in joining the King Conservation Science Scholars Program, and I understand that parent/guardian permission will be collected at a later date.
*
I agree
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