Student Registration

This program is designed to help high school students explore exciting careers, build professional skills, and connect with real employers across growing industries such as clean energy, advanced manufacturing, engineering, technology, and sustainability.

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* 1. Student Name

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* 2. Date of Birth

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* 3. School Name

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* 4. Grade Level

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* 6. Student Phone

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* 7. Parent/Guardian Name

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* 9. Parent Phone

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* 10. Emergency Contact Name

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* 11. Emergency Contact Phone

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* 12. Industries of interest? Select all that apply.

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* 13. What career are you most curious about?

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* 14. Are you a part of the STEM Program?

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* 15. Is the STEM program through RUSD (or another source)?

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* 16. What do you hope to learn from this experience?

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