Imagine Corps 2024 Application

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Questions? Contact Joe Gammal at jgammal@synecticsworld.com

Email *

Student's Full Name *

Student's Date of Birth *

YYYY

Student's Address (Street, City, Zip, Country) *

Student's Telephone *

Student's School *

Grade as of Spring 2024 *

HS Senior - Grade 12

HS Junior - Grade 11

HS Sophomore - Grade 10

HS Freshman -- Grade 9

Grade 8

Grade 7

Parent/Guardian Contact Name *

Parent/Guardian Phone # *

Parent/Guardian Email Address *

Q1. What about the program calls to you? Why are you interested? (Please offer a headline or two and elaborate.) *

Q2. In what ways can you imagine applying what you learn to your world? (Please offer a headline or two and elaborate.) *

Q3. What is an animal that represents you, metaphorically or symbolically. In other, an animal that you might associate with an aspect of the person you are or the one you want to be? Why? Explain or explore the connections you make. The magic is in the connections! *

Q4 Which session are you interested in attending? *

West Tisbury School Program -- Starting March 6th -- FULLY SPONSORED

MV Public Charter School Program -- Starting May 3rd-- FULLY SPONSORED

Metrowest Program (Hopkinton and surrounding towns) -- June 24-27th

a future Breakthrough Thinking Collaboration (BTTC)... please keep me posted

Other:

I understand a "Fully Sponsored" cohort is 100% Free.

For non-fully sponsored cohorts, once admitted and prior to attending my Imagine Corps session, I understand I'll be paying a program fee of $499 (unless adjusted further with the help of additional scholarships -- being sought but not guaranteed).

Fee includes initial Training & Invention Sessions, as well as follow-up Coaching, Refinement Labs, and Concept Jam.

Yes, I understand.

Required

Image Waiver: I give my permission for my or my teen's image in photographs or videos in which he or she appears to be used by Imagine Corps for publicity purposes.

Yes

Scholarships for Unsponsored Cohorts -- Thanks to the generosity of early supporters, there are a few scholarships available for families that, especially in this time of difficulty, could not otherwise afford to participate in Imagine Corps. Scholarships are awarded on the basis of demonstrated need, motivation, and potential benefit to the student.

I would like to apply for a scholarship. Please send me information.

Clear selection

Thank you so much for your interest in joining Imagine Corps!!!!!!

A copy of your responses will be emailed to the address you provided.

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