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Tween STEM Adventure
Interest Application
Please complete this application as accurately as possible. If your child is accepted into the Tween STEM Adventure, an email will be sent by July 1, 2024 with the information to register. Registration and deposit must be completed by August 1, 2024. Thank you for your interest.
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* Indicates required question
Child's First name
*
Your answer
Child's Last Name
*
Your answer
Child's Age
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
Parent's Email Address
*
Your answer
Parent's Phone Number
*
Your answer
Does your child participate well in group activities? If no, please explain:
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Yes
No
If no, please explain:
Your answer
Can your child attend to a task for more than 45 mins?
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Yes
No
Sometimes
Does your child have good listening skills?
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Yes
No
Are there any behaviors that we should be aware of?
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Yes
No
If you replied Yes above, please describe behaviors. (when these behaviors typically occur, what they look like, how long they last, what you typically do to calm the situation, describe any behavior triggers (e.g. loud noises, being touched):
Your answer
Does your child participate in the STEP UP Scholarship program?
*
Yes
No
Does your child have a disability?
Yes
No
Clear selection
Does your child have an IEP?
Yes
No
Clear selection
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