Walpole High School - STEM 2024 Application -                           Class of 2028  
Please use this online form to complete your application for WHS STEM Academy.   You may revise it once submitted if you decide you want to change any of your responses.  However, no applications will be accepted after the 5/17/2024 due date.  Please email jbraccini@walpole.k12.ma.us with any questions.  You will be notified via email by 6/3/2024 if selected to the program.


Email *
WHS - STEM Academy
Last Name *
First Name *
Street Address  (i.e.  21 Main Street) *
Town *
Required
Your School Email Address *
Parent(s) /Guardian(s)  First and Last Name(s) *
Please list at least one parent/guardian.  
Parent/Guardian Contact Email Address *
Parent/Guardian Contact Phone Number *
What Scholastic & Extra-Curricular activities have you participated in?   *
Scholastic & Extra-Curricular Activities Participation• Please include all school related and non-school related activities.•   Activities can include sports, clubs, performing arts, hobbies, community service/involvement, etc.• For each activity listed, provide a short description and indicate any awards/honors received.• Please indicate which activities are STEM related during your description. Lastly, indicate the year(s) participated in each activity.
Self Reflection - How would you describe yourself? *
The student applying for admission to WHS STEM Academy should complete this section.
Describe one personal experience that contributed and/or helped shape your interest in Science, Technology, Engineering, and Mathematics(STEM).   *
The student applying for admission to WHS STEM Academy should complete this section.
If accepted to WHS STEM Academy, what would be one goal you would like to get from the experience? *
The student applying for admission to WHS STEM Academy should complete this section.
A copy of your responses will be emailed to .
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