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* 1. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 2. What grade did you recently complete?

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* 3. What type of school did you go to this past school year?

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* 4. Have you attended a CEEF Energy Camp before?

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* 5. On a scale of 1–5, how much do you know about energy and how it powers your world? (1 = I have no idea- 5 = I could teach a class on it)

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* 6. How much would you say you know about renewable, reliable, and sustainable energy?

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* 7. Which of these energy topics are you MOST excited to explore? (Choose up to 3)

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* 8. Would you consider a career in the energy industry?

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* 9. What’s your dream job or career goal right now?

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* 10. Which of these best describe your current interests? (You can choose more than one.)

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* 11. Move the slider to show how much you agree or disagree with the following statement:
I believe kids like me can help solve real-world energy problems.

No Maybe Yes
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i We adjusted the number you entered based on the slider’s scale.

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* 12. Move the slider to show how much you agree or disagree with the following statement:
I think I am a good problem-solver

No Maybe Yes
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i We adjusted the number you entered based on the slider’s scale.

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* 13. Move the slider to show how much you agree or disagree with the following statement:
I consider myself good at STEM (Science, Technology, Engineering and Math).

No Maybe Yes
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 14. What are you most excited about for this camp?

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* 15. Any questions or things you hope to learn this week?

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* 16. Have you heard of TC Energy or Constellation before this camp?

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* 17. How much do you agree or disagree with the following statement?
Learning about energy makes me more interested in science.

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* 18. Clean energy is important for my community.

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* 19. Would you be interested in learning more about internships, scholarships, or mentorships with companies like TC Energy or Constellation?

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* 20. (Optional) If you would like to be entered into a random drawing for a $25 Amazon gift card, please include the email address where you would like to be reached.

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