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Request to receive information about the Central Massachusetts Brain Bee (revised 1/23/24)
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Email
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Your email
Enter an alternate email address (if you wish). Due to some schools having restrictions on incoming email, including a second, non-school email address is suggested, unless you know your school will faithfully pass along external emails.
Your answer
Enter your name (last name first).
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Your answer
Indicate your role(s)
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Prospective 2024 Brain Bee Participant
Prospective future (2025-) Brain Bee participant
Past Brain Bee participant
High School Teacher
Parent of a current or future Brain Bee participant
Volunteer affiliated with UMass Chan Medical School or UMMHC
Volunteer affiliated with a local college or university
Other volunteer
Interested member of the community/ Other
Required
If you are a current high school student, please indicate your high school and its location.
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Your answer
Would you like to be informed about future Brain Bees? (select all that apply).
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2024
2025
2026
2027
Indefinitely
Required
What grade are you in?
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Freshman (9th grade)
Sophomore (10th grade)
Junior (11th grade)
Senior (12th grade)
Middle school (grades 6-8)
I have completed high school (parent, teacher, volunteer)
Other (explain on next page)
If you have any questions or comments for the Brain Bee organizing Committee, please write them here. You may also email questions to CentralMassBrainBee@umassmed.edu
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Thank you for completing this survey
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