4H STEAM Clubs

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

4H STEAM Clubs

2022 Interest Survey

Email *

Parent/Responsible Party Name: *

Student Name: *

Grade for 2021-22 school year *

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

College/18 years old/19 years old

Required

Please indicate your schooling option.

Beal City Public Schools

Central Michigan University

FlexTech (Shepherd)

Home School/Mt. Pleasant Home Education

Mid Michigan College

Mt. Pleasant Public Schools

Renaissance Public School Academy

Sacred Heart Academy

Saginaw Chippewa Academy

Shepherd Public Schools

Other:

Clear selection

How are you schooling? In-person, virtual or remote, home-schooled, or hybrid.

Please check which clubs you would like to participate in this year. *

Pollinator Power! - Bees, butterflies, birds and bats!

Know It Owls! - All about owls in Michigan.

Service Learning - Identifying a community need and developing a service project to meet that need.

Good Vibes All Around - Finding the "Good Vibes" in your world. Plants, stones, oils, relaxation, teas and lemonades.

Making an Impression: All things art! From your own creations to a Monet Art Lesson!

Other:

Required

Other: Add your own club topic(s).

We will be meeting in-person. Please indicate what times work best for your 4-H member.

First Choice

Second Choice

Third Choice

This is impossible for our family.

Friday 3:30-5:00

Thursday 6:00-7:30

Saturdays, 10:30am - Noon

Clear selection

Thank you for participating!

YYYY

Submit

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