Environmentor Registration
Environmentor is a paid internship to conduct authentic environmental research under the mentorship of scientists from local universities and research institutions. You must be a high school student and be available to participate five days a week, 10:00 a.m. to 4:00 p.m., June 5 to August 15, 2025. Register below to be invited to the group interview in the spring.
Student Name
*
First Name
Last Name
Student Gender
*
Please Select
Male
Female
Non-Binary
Prefer Not to Say
Other
Student Ethnicity
Please Select
Black/Non-Hispanic
American Indian/Native American
Hispanic/Latino
Caucasian/Non Hispanic
Asian/Pacific Islander
Other
Student Age
*
Student Birth Date
*
/
Month
/
Day
Year
Please enter the Date as MM/DD/YYYY
Student Birth Date (Old)
Please select a month
January
February
March
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Month
Please select a day
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Day
Please select a year
2025
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Year
High School Graduation Date (Old)
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
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Day
Please select a year
2033
2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
Year
High School Graduation Date
*
/
Month
/
Day
Year
Please enter Date as MM/DD/YYYY
Student Email
*
example@example.com
Student Phone Number
Please enter a valid phone number.
Where do you go to school?
*
Grade in School Fall 2024
*
Student Address
*
Street Address
Street Address Line 2
City
State/Province
Postal/ZIP Code
Parent/Guardian Name
*
First Name
Last Name
Relationship to Student
Please Select
Aunt
Child
Cousin
Family
Friend
Grandchild
Grandparent
Parent
Partner
Sibling
Spouse
Uncle
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone
*
Please enter a valid phone number.
Second Emergency Contact
First Name
Last Name
Second Emergency Relationship
Please Select
Aunt
Child
Cousin
Family
Friend
Grandchild
Grandparent
Parent
Partner
Sibling
Spouse
Uncle
Second Emergency Contact Email
*
example@example.com
Second Emergency Contact Phone
Please enter a valid phone number.
Have you participated in RISE programs before?
If yes, what program/event?
Have you worked with the Environment before
Please Select
Yes
No
Previous Environment Description
If yes, what have you done?
What are your plans after high school?
Please Select
Attend College
Work Full Time
Enroll in the Armed Forces
I don't know
Other
How did you hear about RISE programs
Please Select
Classmate/School
Family Member
Internet/Website
Social Media
Other
Flyer
Friend
Do you have any food allergies or dietary restrictions?
If yes, please indicate what they are.
Parent/Guardian Phone
Student Gender
Female/Male/Nonbinary/Other
Student Phone Number
Second Emergency Contact Phone
Student Ethnicity OLD
American Indian or Alaska Native/Asian/Black or African American/Hispanic or Latino/Hawaiian or Other Pacific Island/White/Other
Cohort ID
Program ID
How did you hear about RISE programs? OLD
Classmate or School/Family Member/Friend/Internet/Social Media/Flyer/Other (Specify)
Student E-mail OLD
Parent/Guardian E-mail OLD
Second Emergency Contact E-mail OLD
What are your plans after high school? OLD
Attend College/Work Full-Time/Enroll in Armed Forces/I Don't Know/Other (Specify)
Relationship to Student
Mother/Father/Stepmother/Stepfather/Foster Parent/Other (Specify)
Second Emergency Relationship
Family (Specify)/Friend/Other (Specify)
Submit
Student Birth Date3
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Month
-
Day
Year
Date
Should be Empty: