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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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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Email
Your answer
Student Phone
Your answer
Parent/Guardian/Mentor First Name
Your answer
Parent/Guardian/Mentor Last Name
Your answer
Parent/Guardian/Mentor email
Your answer
Parent/Guardian/Mentor Phone
Your answer
School Currently Attending
Your answer
Current Grade in School
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Clear selection
Which project(s) and/or topics interest you from our list of
example projects
?
Your answer
In a few sentences, what do you want to accomplish by attending this program?
Your answer
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