WASHINGTON STATE STEM SIGNING DAY APPLICATION

Name*

Last NameFirst Name

What is the phonetic pronunciation of your first and last name? *

(ex. Raul Gonzalez: rah-OOL gon-SAH-les)

Preferred Pronouns*

Your personal email address*

Please provide your personal/preferred email address where we can send updates (PLEASE DO NOT USE YOUR SCHOOL EMAIL ADDRESS).

Your parent/guardian's email address*

Please provide so we can let them know if you are selected as an honoree.

Your guidance counselor/school administrator's email address

Please provide so we can let them know if you are selected as an honoree.

What degree or program are you intending to pursue this fall? (i.e. Nursing, Mechatronics, Aerospace Engineering, etc.) *

What is the name of the college, university, or credential program you plan on attending this Fall?*

If you have not yet committed, please list the top two schools you are considering.

In what grade did you first become interested in a STEM field? *

(i.e.,fourth grade, ninth grade, etc.)

What or who made you want to follow a STEM pathway? Please elaborate.*

Did you participate in any programs, camps, clubs, activities, that sparked your interest in STEM and STEM careers? *

If you answered "Yes" in the previous question, tell us more about that!

What do you hope to do or what impact do you hope to achieve in your future career?*

Please confirm the complete name of your high school. *

Please confirm your home zip code.*

If selected, are you able to attend the Washington State STEM Signing Day event on June 6, at the Virginia Mason Athletic Center (VMAC) in Renton, WA*

Upload a photo of yourself (a headshot is best)*

Please upload your photos in zip, .gif, .jpg, .jpeg, or .png

Create and upload a video (<1 min, vertical format) stating your name, current high school, college or technical school you will be attending, and career you are planning to pursue.

Please upload your videos in zip, .mov or .mp4 format. Video should be less than 1 minute and filmed in a vertical format.

Where did you hear about STEM Signing Day?

Please share specifics (e.g., if on Facebook, which page; if at an event, which event; if through an organization/company, which organization/company).

By submitting this application, you consent to being contacted by our team at Boeing, or by our Washington State STEM Signing Day partners, Partnership for Learning.