K-12 Youth Initiative School Info Form

As part of the Girls For Technology quality control process, we seek your assistance in completing the questions in this application if your school is looking to collaborate on ways to partner. Your response is strictly confidential.

Question Title

* 1. Personal Info

Full Name

Name of the School

Address

Address 2

City/Town

State/Province

Email Address

Phone Number

Question Title

* 2. For what grades are you looking to partner with us ?

3 - 5 Grade

6 - 8 Grade

Freshman

Sophomore

Junior

Senior

Other

Question Title

* 3. Which of the following STEM/Entreprenership after-school activities are you interested in for your students?

In-Person Weekdays

In-Person Weekends

Remote only Weekdays

Remote only Weekends

Workshops

Feild Trips

College Tour

Other (please specify)