2023 Young Innovators Quest Application

YiQ-2023 Application

Diversity & Innovation Institute
The Young Innovators Quest (YiQ) will be held by the Diversity & Innovation Institute (DNOVA) from June 5-24, 2023 at IUPUI and other locations in Indiana.

To apply, complete this form and attach a PDF (or JPEG) copy of your official high school transcript and a recommendation letter from a teacher. Please have these two documents ready before starting the application.

If you need to pause or take a break, you can click the green "Save" button at the bottom of this form. Copy the link provided and paste it somewhere safe on your computer. When you are ready to continue, simply follow the link back here.

If you plan on requesting financial assistance, please have your family's tax return information from the previous year ready.

DNOVA staff will review applications following the regular deadline, with notifications sent soon thereafter.

Early bird deadline ($250 tuition discount):

March 15, 2023

Regular deadline:

April 30, 2023

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent / Guardian Information:
Under custody of*
Parent Name(s)*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Occupation*
Parent/ Guardian Phone Number*
Parent/Guardian E-mail*
Other Parent Name(s)
Optional
Other Parent/Guardian Name(s)

First NameLast Name
Other Parent/Guardian Occupation
Other Parent/Guardian Phone Number
Other Parent/Guardian E-mail

Logistics Information:
Special Dietary Needs
Allergies
T-Shirt Size*
Transportation Arrangement*

Tuition and Financial Assistance:
The program fee is $1,500 per student. This amount represents about 40% of the total cost per student, the other 60% of the cost is covered by grants and donations. From these grants and donations we have created a fund to offset the cost of the program fee for families that cannot afford to pay the full amount. The level of financial assistance will depend on available funding and level of need. Each student may request up to $1,500 in assistance to offset the cost of the program.

To qualify for financial assistance a family will have to demonstrate financial hardship by providing evidence (e.g. student's participation in free and reduced meals at school, federal income tax returns, any document showing recurring expenses like mortgage, rent, student debt, etc.). We will consider financial assistance for families with a gross income below 300% of Federal Poverty Levels (https://aspe.hhs.gov/poverty-guidelines) and/or students who are currently participating in Free and Reduced Meals programs.

Program fee includes workshops, industry visits, use of laboratory equipment, materials, transportation, and some meals. The program fee is collected only if and when the student is accepted into the program. Program fee is non-refundable after the program starts.
Payment Option*

I will pay the early-bird fee of $1,250 (if applying before March 15)I will pay the regular fee of $1,500I will pay out-of-state fee of $3,000I would like to request financial assistance...
Answer the following questions if you are requesting financial assistance:
Number of Persons in Family / Household
Household Gross Income
From your Federal Tex Return or W2 forms
Household Net Income
Gross income minus recurring living expenses (including any student debt, child support, alimony, rent, mortgage, utilities)
Tuition Assistance Request
You may request up to $1,500 assistance to offset the regular program fee.

Supporting Documents and Certification:
Instructions for Uploaded Documents:

A recommendation letter should answer the questions below. It must also be signed by your teacher and include contact information.

1. For how long have you known the applicant and in what capacity do you know the applicant?

2. How will the applicant benefit from the YiQ program and what do you expect the student to gain from this experience?

3. To what extent and in what capacity has the student shown interest in the fields of science, technology, engineering, and mathematics?

Your transcript should include your GPA.
Teacher Recommendation Letter PDF
*Must be someone who knows you academically, can be a leader from a an extracurricular or Club. Letter may also be sent directly to contact@dnova.org.
Official High School Transcript PDF
Must be signed by high school guidance counselor and include contact information. Transcripts may also be sent directly to contact@dnova.org.
Signature Conditions

By signing below, I attest that all information included in this application is complete and correct.
Signature

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Diversity & Innovation Institute, Inc.

9100 Purdue Rd., Suite 410 | Indianapolis, IN 46268

Ph: (317) 703-7836 | contact@dnova.org

www.dnova.org
Should be Empty:

	Not Comfortable	Know the Basics	Can Manage	Very Skilled	I can Teach This
Creativity
Innovation
Intellectual Property
Scientific Research
Designing / Prototyping
Communications
Leadership
Computers / Tablets
Teamwork/Collaboration
Problem Solving
Project Management
Coding / Programming
STEM Careers
College Life
Resume / Interviews

Participant's Information:

Parent / Guardian Information:

References:

Logistics Information:

Interests and Goals:

Tuition and Financial Assistance:

Supporting Documents and Certification: