JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Idea Academia Participant Application
Tell us what you'd like out of our program!
Our programs will be on Mondays from 5-7pm. You are welcome to stay for the entire time, but it is not required!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
First and last name
Your answer
Pronouns
*
Your answer
Phone number
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Education
*
In High School
Obtaining GED
Other:
Year in High School
*
Freshman
Sophomore
Junior
Senior
What school are you attending
*
Your answer
Do any of these identities align with you?
LGBTQ2SIA+
QTBIPOC
Exploring
Black
Latine/o/a/x
Asian
Indigenous
BIPOC
None of the above
Other:
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
