THANK YOU FOR YOUR INTEREST.                                                                                                                     WE ARE NO LONGER ACCEPTING APPLICATIONS.                                                                                                                                                    Apply for *your* spot at Dinner with a Scientist. Throughout a four course meal you will experience hands on science while meeting scientists from their fields of study. Plus you will be entered in drawings for all kinds of prizes: Legoland Tickets, Sea World Tickets, Tilly's gift card, plus much more! The event will be on the evening of Thursday, May 2nd. Please complete the following form to be considered.                                          'Dinner with a Scientist' Student Application
BVMS Students, please fill out this survey as your application to join us for 'Dinner with a Scientist!' This event is for students only.
Email *
What is your first name? *
What is your last name? *
Who is your science teacher? *
What is the name of your parents? *
What are your parents' email?
What are your parents' cellphone number? *
Can you be at school on Thursday, May 2nd from 5:00-7:30 pm? *
What is the highest level of education your parents have? *
What do you think you will get out of this event? *
Name one student you would like try to be in the same group with. We can not guarantee you will be in the same group, but we will try. *
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