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2022 Summer Residential ECSU-NASA/BWF Aviation/Aerospace/Drone Academy High School Student Application (Rising 9th-12th graders)
S.T.E.M: Science, Technology, Engineering, and Mathematics
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* Indicates required question
1. Enter last name of student
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Your answer
2. Enter first name of student
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Your answer
3. Parents (Guardian) first and last name
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Your answer
4. What is your (Student) birthday (MM/DD/YYYY)?
Your answer
5. Enter full residential address with zip code
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Your answer
6. Enter your primary contact phone number
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Your answer
7. Enter your contact phone 2 (if available)
Your answer
Enter your contact email, (This email will be used to provide information on acceptance or not)
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Your answer
8. Enter emergency contact person and phone number
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Your answer
9. What will be student's grade level in Fall 2022?
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9th
10th
11th
12th
10. What is student's gender?
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Female
Male
No Response
11. Which of the following best describe the student?
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Black or African American
White
Hispanic/Latino
Native American/Alaskan Native
Asian
Native Hawaiian/Pacific Islander
Bi-or Multi-Racial
No Response
Other:
12. Why is student signing up for ECSU-Aviation/Aerospace/Drone Academy program? (Check all that apply)
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To have fun
To have something to do
To learn more about different STEM majors in college (e.g., engineering, science)
To learn more about science
To learn about what scientists and engineers do
To meet others with interests similar to mine
To help me to do well in school
None of these
Required
Select the preferred week for your participation.
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June 19 - June 24, 2022
June 26 - July 1, 2022
Either week will work
13. What North Carolina County do you live in? For example (Camden, Pasquotank, Bertie, etc.). Outside NC, select other and list the State
Bertie
Camden
Chowan
Currituck
Dare
Edgecombe
Gates
Greene
Halifax
Hertford
Martin
Mecklenburg
Pasquotank
Perquimans
Warren
Other:
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Please list all medical conditions so we can best serve your child daily and in the event of a medical emergency. Include all dietary restrictions, medical conditions, medications, allergies and illnesses.
Your answer
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