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Email
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Your email
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Are you a Student or a Parent/Guardian
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Student
Parent/Guardian
Teacher/Educator
Other:
If you are a student what grade are you currently in?
9th
10th
11th
12th
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School you currently attend? (if an educator please let us know where you teach)
Your answer
What program are you most interested in learning about? Check all that apply
*
Investigate (9th-12th Grade)
Teen advisory Council (9th-12th Grade)
Teen Science Cafe (9th-12th Grade)
Teen Summer Innovation Program (9th-12th Grade)
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