Wilderness Watershed Adventure Application
For those interested in participating in this program, please fill out the following questions so we can get to know you! We encourage you to be completely honest. Applicants are selected based on a variety of factors.
Sign in to Google to save your progress. Learn more
Email *
Your Name (First and Last) *
Your Address *
Phone Number *
What high school grade are you currently in? *
What is the name of your school? *
Do you qualify for Free or Reduced Lunch? 
Clear selection
What is your ethnicity?
What race best describes how you identify yourself?
Why do you want to participate in this program? *
Please rate your interest and ability in the following topics on a scale of 1-3 (1 being no interest/ability, 2 some interest/ability, 3 a lot of interest/ability) Please be honest when answering.  We will choose a mixture of students, not just those with high interests.
 *
1
2
3
Interest in science
Interest in nature
Interest in a science career
Ability to use the scientific method
Interest in camping/being outdoors
Is there anything else you would like to share about yourself?
How did you find out about the Wilderness Watershed Adventure program? *
With the help of a guardian, please fill out the following form and email a digital or scanned copy to sophiemccarthy@ljea.org *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Foothills Conservancy of North Carolina. Report Abuse
Google Forms