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Curious Minds Dive Foundation Student Application
Please complete the application to participate in the Curious Minds Dive Foundation programs.
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* Indicates required question
Email
*
Your email
Name
*
First and last name
Your answer
Phone number
*
Your answer
Parents Name
*
First and last name
Your answer
Parents Email
*
Your answer
Parents number
*
Your answer
What is your current school grade?
*
Senior
Junior
Sophomore
Freshman
8th Grade
7th Grade
6th Grade
Required
In one or two sentences, describe your educational goals:
*
Your answer
Why do you want to participate in the Curious Minds Dive Foundation School Program At Westinghouse?
*
Your answer
What STEAM topics are most interesting to you? Please check all of the topics that interest you.
*
Physics: is the study of basic laws governing the motion, energy, structure, and interactions of matter.
Environmental: involves learning about physical and biological processes that govern nature and working to improve the environment
Mathematics: is the science of numbers and their operations
Biology: involve the study of living organisms (such as plants and animals) and the processes of life.
Earth Science: is the study of earth, including the air, land, and ocean
Computer Science: consists of the development and testing of computer systems, designing new programs and helping others to use computers.
Chemistry: uses math and experiments to search for new chemicals, and to study the structure of matter and how it behaves.
Engineering: involves designing, testing, and manufacturing new products (like machines, bridges, buildings, and electronics) through the use of math, science, and computers.
Visual Arts - including drawing, painting, photography and video creation.
Performance Arts - including theater, storytelling and music
Writing and blogging
Other:
Required
Mark the circles that best describe how much you agree or disagree with a statement.
I am confident I can lead others to accomplish a goal.
Strongly Disagree
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2
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4
5
Strongly Agree
Clear selection
I am confident I can encourage others to do their best.
Strongly Disagree
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2
3
4
5
Strongly Agree
Clear selection
I am confident I can respect the differences of my peers.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
I am confident I can include others’ perspectives when making decisions.
Strongly Disagree
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2
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4
5
Strongly Agree
Clear selection
I am confident I can work well with students from different backgrounds.
Strongly Disagree
1
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5
Strongly Agree
Clear selection
Briefly describe a school, community or public service, activity that you have participated in and why did you get involved?
*
Your answer
Would you like to learn to scuba dive?
Yes
No
Maybe
Already a certified diver
Clear selection
A copy of your responses will be emailed to the address you provided.
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