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Registration for Online Summer Program on Environmental Science 2022
Registration Form for 2-Week Online Program for Grade 7 - 12 Students.
Classes will be held in the late afternoon or evenings
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* Indicates required question
Email
*
Your email
Student's Full Name
*
Your answer
Which Grade are you currently in?
*
Class 12
Class 11
Class 10
Class 9
Class 8
Class 7
Other:
School Name
*
Your answer
City
*
Your answer
Parent's Name
*
Your answer
Parent's Contact Number
*
Your answer
Student's Contact Number / Alternate Number
*
Your answer
Student's Email ID
Your answer
Why are you interested in this program? (2 lines)
*
Your answer
What do you want to study after Class 12?
*
Environmental Science/Engineering
Biotech / Life Sciences
Other STEM field (e.g. Engineering, IT)
Non-STEM (Humanities, Liberal Arts, Business, Law, etc.)
Not Sure; I am exploring all the options right now
How did you hear about this program?
*
Stoodnt.com (website / webinar)
SHRM Biotech Website
Email Newsletter
Social Media
Your School Counselor
Family or Friend
Let's Talk by Sunita Bose
TribesforGOOD
Education & You
Other:
A copy of your responses will be emailed to the address you provided.
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