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Kinetic Minds Inc.
Junior Scientist Academy Application
FREE STEM Program for Rising 5th - 9th graders

Instructions: Submit this form if your child is a rising 5th - 9th grade student who is interested in participating in the Junior Scientist Academy (JSA) program.
The JSA is a FREE program open to students with high aptitude and interest in science and STEM. Students must meet at least 2 of these standards to qualify and be accepted into the program:
  • Level 4 or 5 science and/or math EOG score
  • A or B grade average in science and/or math
  • Math or science teacher recommendation letter (from a teacher that taught them)
  • Career assessment results indicating a STEM field
  • Demonstrated interest/excellence in STEM (awards, certificates, projects, etc.)

The JSA program will provide exceptional STEM opportunities for students accepted into the program. STEM sessions will be held during the summer and 2026-2027 school year (see dates below). There will also be a FREE field trip and student stipend provided during the Spring of 2027. Attendance requirements must be met by JSA participants in order to attend the field trip and in order to receive the student stipend.

Summer Camp Dates
Week 1: Monday, July 13 - Thursday, July 16 (9 am - 2 pm daily)
Week 2: Monday, July 20 - Thursday, July 23 (9 am - 2 pm daily)
Week 3: Monday, July 27 - Thursday, July 30 (9 am - 2 pm daily)
Saturday sessions are scheduled for October 17, November 14, January 9, February 6, March 13, April 3, & May 8
1.Type in parent's first and last full name. (no intials)(Required.)
2.Parent's current mobile phone number (must be able to receive texts)(Required.)
3.Parent's current personal email (no work emails)(Required.)
4.List your child's current school by name (no initials) for the 2025-26 school year.(Required.)
5.List your child's current grade for the 2025-26 school year.(Required.)
6.My child qualifies for the JSA program through the following 2 or more standards I have checked below.

Select all that apply; minimum of 2 required in order to be acccepted into the JSA program.(Required.)
7.Tell us, in your own words, why you believe your child would be a great selection for the Junior Scientist Academy STEM program.(Required.)
8.I plan for my child to attend at least 11 of the 12 days of the Junior Scientist Academy summer camp in July. I understand that if my child misses 2 or more days of the Junior Scientist Academy, they may be withdrawn and ineligible for the field trip and participant stipend.(Required.)
9.I plan for my child to attend at least 6 of the 7 days of the Junior Scientist Academy Saturday sessions during the 2026-27 school year. I understand that if my child misses 2 or more days of the Junior Scientist Academy, they may be withdrawn and ineligible for the field trip and participant stipend.(Required.)
10.As the parent, I understand that my child's participation in this program also depends on their behavior and being able to follow the instructions of the Junior Scientist Academy Director, staff, and adults at the school in a respectful manner. I also understand that disruptive and disrespectful behavior demonstrated by my child towards the Director, staff, adults at the school, or other children will not be tolerated.(Required.)
11.Do you know of anything or any issue that would prevent your child from fully participating in the hands-on activities and projects of the Junior Scientist Academy STEM program for the summer camp and Saturday sessions?(Required.)
12.Please explain here if you answered yes to question number 11. If you answered no to question number 11 respond with the word "no".(Required.)
13.If my child is selected as a JSA participant, I will be required to provide the following:

1) my child's medical information, including a list of their medications and allergies, if any.
2) my child's authorized pickup list.
14.As the parent, I understand that I must provide documents selected in Question 6, by mail or email. Documents must be emailed to parentinvolvement@kineticmindsnc.org or mailed to Kinetic Minds 2822 Cashwell Drive # 101 Goldsboro, NC 27530. Incomplete Junior Scientist Academy applications will not be considered.(Required.)
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