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Name
*
First Name
Last Name
Date of birth
*
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Month
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Day
Year
Date
Age
School District
School Name
Grade Level
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you previously attended the Saturday Morning Science program?
Yes
No
What career do you plan to pursue? Feel free to list up to 3 options.
Name up to two colleges you are interested in applying to. If you have already applied to/been accepted to college, please indicate where.
Please include any additional information that will help us pair you with the most appropriate mentor. For example: “first in family to go to college, first in family to aspire to a STEM career, interest in collegial level sports, interest in learning more about financial aid, interest in staying in Texas vs. leaving Texas, any specific interests/questions you may have i.e. financial aid, working during college, etc.”
Please verify that you are human
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Parent/Guardian’s Contact Number (if in high school)
*
Please enter a valid phone number.
Format: (000) 000-0000.
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