Engineering Up Student Application
See www.EngineeringUp.org for program details. 
Applicants submit this form then a staff member will reach out with a follow-up call.
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Student First Name
*
Student Last Name *
Student Email
Student Phone
Parent/Guardian/Mentor First Name
Parent/Guardian/Mentor Last Name
Parent/Guardian/Mentor email
Parent/Guardian/Mentor Phone
School Currently Attending
Current Grade in School
Clear selection
Which project(s) and/or topics interest you from our list of example projects?
In a few sentences, what do you want to accomplish by attending this program?
Submit
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