Rice "Top 3" STEM Camp - Application
ExxonMobil has provided 3 scholarships for current 11th graders who are in the top 3 of their graduating class at either ECHS@MC, Lee or Midland Senior High School.  The scholarship includes the cost of the program and transportation.

Applications are due by May 13, 2019.

Sign in to Google to save your progress. Learn more
Email *
Student Details
Please complete the following information about yourself.
Student's First Name *
Student's Last Name *
Student's School *
Student's Current Rank in Class *
Student's Email *
Phone Number *
Street Address *
Gender *
Parent/Guardian Details
Please complete the following information.
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Parent/Guardian Street Address *
Parent/Guardian City *
Parent/Guardian Zipcode *
Student Experience
Share an example of that describes the level of interest you have in pursuing a STEM field after high school.   *
In two paragraphs or less, share why you are the best candidate to attend the "Top 3 Camp" at Rice University. *
Electronic Signature
By entering your names and submitting this application, you agree to the terms below.
Agreement Information
I hereby agree that all information on this form and attached forms is true and correct to the best of my knowledge and give permission for my child to attend  the Rice STEM Camp "Top 3" Camp during the summer of 2019.    


Student's Full Name *
Parent's Full Name *
If you are selected to participate in the Top 3 Rice STEM Camp you will be notified by May 17, 2019.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Midland ISD. Report Abuse