Project Team Leader Application Hand in Hand Program 2022
Registration for Hand and Hand Program, Grades 10-12
PTL Leadership training dates: July 25th - July 29th Monday to Friday
Program dates: August 1st - 12th Monday to Friday

Project Team Leader Description
Tech-savvy student leaders entering grades 10-12 will be selected from public and charter schools in the Buffalo Niagara region to be trained as Project Team Leaders for a summer experience to design and make prosthetic hands and create adaptive devices at the Health Sciences Charter School. These high school students will receive training from collaborating partners in skills relating to leadership, global and community service learning, and technology skills. Their role will be to lead a team of middle and high school participants.  

Once you have completed this application, please email your most recent report card to wnystemprograms@wnystem.org 

After your registration is received additional information will be forwarded to an appropriate email address.

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電子郵件 *
Student First Name *
Student Last Name *
Student Email
Student cellphone number
Parent First Name *
Parent Last Name *
Parent Email *
Parent Telephone number/Cell number *
Mailing Address (House number and Street) *
Zip Code *
Student DOB (XX-XX-XXXX) *
Student Current Grade, school year 2021-22 *
必填
School of Attendance (Fall 2022) *
What is student's current skill level for technology use? *
必填
Has the student participated in the Hand and Hand Program in previous years? *
Has the student participated in the Hand and Hand Program as a project team leader in previous years? *
Race/Ethnicity *
The student qualifies for free or reduced lunch? *
Please list any technology courses or other STEM classes you have taken, and the final grade you received in each course. *
What technology do you use? *
Select the following topics you have taken courses in. *
必填
How do you participate in technology? (Tech clubs, Tech wars, FIRST® robotics, other) *
Why do you want to participate in Hand in Hand Enrichment Program? *
Are you available to attend all sessions (Monday through Friday) August 1-12, 2021 from 8:30am to 1pm at the Health Sciences Charter School, 1140 Ellicott St., Buffalo, NY 14209? *
Please indicate any dates you will not be present. Please note attendance during PLT training week is required.  if you can not attend the PTL training week you will not be a considered for the PTL position.
Please provide the full name of a technology, science, or math teacher who can provide a written and signed recommendation. *
Please provide your recommender's email address, and we will send them the recommendation form. *
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