SparkSTEM Fall 2021 Mentorship Program Registration
Registration closes October 7, 2021 @ 11:59 PM CST

October - Mid December
$80 total for 8 sessions
30 - 45 minute sessions
Flexible meeting times set up with mentors

More info:
- If the payment information is incorrectly entered, the registration spot will not be saved.
- Please visit our website sparkstem.org for more information!
- Contact us at sparkstemorg@gmail.com for any further questions.

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Email *
Student's First Name *
Student's Last Name *
Student's Email (if applicable)
Student emails will be used to communicate meeting times with mentors and Zoom links.
Student's Phone Number (if applicable)
Parent/Legal Guardian First Name *
Parent/Legal Guardian Last Name *
Parent/Legal Guardian Email *
Parent/Legal Guardian Phone Number *
Grade Level (2021-2022) *
School (2021-2022 School Year) *
City *
State *
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