Shooting Stars - Tech Immersion Series - Tampa Edition - 2022 Application Form
Program Information:
When? July 11th, 2022 -  Aug 5th, 2022 10 am - 1pm EST
Who should apply? Rising 10-12th grades high school students

This is a very competitive program. Students will go through multiple rounds of interviews and approvals. Students should indicate interest in and motivation to pursue tech. Students should expect to commit to approximately 60 hours required between July 11th and Aug 5th 2022. The ultimate goal of the program is for participants to pursue a STEM Major in college. Experience in programming is not needed!



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Full Name *
Email (Please list your personal email - not school associated email) *
Phone Number *
Home City *
Home State *
Home Zipcode *
School Name *
Rising Grade *
Age *
Please select the response that best represents your gender identity: *
Please select the response that best represents your racial identity *
Do you qualify for or receive free or reduced lunch at school? *
Parent Name *
Parent Phone Number *
Parent Email *
Please indicate your level of experience with any type of coding - remember, no experience is needed at all! *
I have no experience with coding.
I am very familiar with and comfortable with coding.
Have you participated in a coding or technology camp before? *
Why do you think STEM is important for high school girls (3 Bullet Points)? *
This is a 4 Week Tech Immersion committed program - with an end goal of getting ready for a STEM degree in college. What inspired you to apply for this program ? (3 Bullet Points) *
What are your top 3 expectations from this camp? *
What kind of major do you want to pursue in college? *
Are you committed to spend the needed hours (80 hours between July 11th 2022 and Aug 5th 2022) for this program? *
Do you know any family/friends who are working in the STEM field? Indicate who / where / what they are working on and what inspires you about them? *
How did you hear about this camp? (Organization, counselor, friends, family, WhatsApp, email list, social media, etc) *
If you were referred by an organization, please name them here! *
Liability Waiver Accepted by Parent *
Required
Signed By (Participant Over 18 or  parent, if participant is under 18) *
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