Black Youth Day Interest Form 2023
Black Youth Day will be co-hosted on The University of Texas at Austin campus on March 4th, 2023 from 10am-2:30pm by the National Society of Black Engineers (NSBE) and the Diversity, Equity and Inclusion office of the Cockrell School of Engineering (CSE DEI).   During Black Youth Day, high school students (grades 8-11) are invited to join us for one day of engineering activities. BYD offers students a chance to learn, with hands-on engineering activities, being led and taught by students within their own community.
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Student First Name
Student Last Name
Student Preferred Name
Student Birthday
MM
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DD
/
YYYY
Student email address
Student Cell Phone Number (if have one)
Parent/Guardian Name
Parent/Guardian Email Address
Parent/Guardian Cell Phone Number
Second Parent/Guardian Name (optional)
Second Parent/Guardian Email (optional)
Second Parent/Guardian Phone Number (optional)
Student Grade Level
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Student Current School
Gender
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Race/Ethnicity
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