Academic Information

Current School:*

Select your current grade level*

FreshmanSophomoreJuniorSenior

Enter your current GPA*

Intended College Major:*

STEM Courses Taken:*

Extracurricular Activities

STEM Clubs/Organizations:*

Leadership Roles:*

Community Service Activities:*

STEM Competitions:*

Why Are You Interested in STEM?*

Do you have any medical conditions we should be aware of?

Do you require any special accommodations?

Terms and Conditions:*

I certify that the information provided is accurate to the best of my knowledge

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