Indiana Uplands Microelectronics Academy

Indiana Uplands Microelectronics Academy – Student Interest Form

Thank you for your interest in the Indiana Uplands Microelectronics Academy — a hands-on, college-credit program connecting students to careers in advanced manufacturing, semiconductors, and smart technologies through the Ivy Tech Semiconductor Fabrication Certificate program. Please complete the questions below so we can learn more about you and your goals.
Student Information
Full Name

First NameLast Name
Current Grade Level
Please select your High School
Personal Email Address
example@example.com
School Email Address
example@example.com
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you a US citizen?
Parent/Guardian Information
Parent/Guardian Full Name(s)

First NameLast Name
Parent/Guardian Email Address(es)
example@example.com
Parent/Guardian Phone Number(s)
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Preferred Contact Method
Experience and Interest alignment with the Indiana Uplands Microelectronics Academy
Have you been involved in any clubs, extracurriculars, hobbies, or activities related to STEM, technology, or hands-on learning?

Other
What interests you most about the Microelectronics Academy?

Other
In your own words, why are you interested in the Academy? What do you hope to learn, experience, or achieve?
Is there anything else you’d like us to know about your interests, experiences, or goals?
Should be Empty:

Indiana Uplands Microelectronics Academy – Student Interest Form