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Plasma Academy Application 2022
Please complete the below form to be considered for participation in the UW Madison Plasma Academy Program.
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Email
*
Your email
Email Address
*
Your answer
Phone Number
Your answer
Are you able to participate in the program from 9:00 am - 3:00 pm, August 15th - 19th (remotely or in person)?
Yes
No
Maybe
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What is your name and pronouns?
Your answer
What best describes your situation?
*
High School Teacher
Associated with a College or University
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