Student Application

STEAM Exploration at Rock Lititz is a one-day career exploration experience for students in grades 11 and 12 who want to learn more about the live entertainment industry. Applications for this free career opportunity will be accepted until March 10, 2020 and successful applicants will be notified by March 31. Free refreshments and lunch will be provided to all students and educators in attendance. Transportation will be provided to Lancaster County public school students. 

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* 1. First and Last Name

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* 2. Phone Number

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* 3. Email Address

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* 4. Age

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* 5. Grade

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* 7. Briefly explain why are you interested in a career exploration experience at Rock Lititz?

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* 8. What careers are you thinking about pursuing after high school?

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* 9. Have you toured Rock Lititz in the past?

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* 10. Name of parent or guardian

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* 11. Email for parent or guardian

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* 12. Please list the name of a current teacher or school administrator who can serve as a reference for your application. (This could be a homeroom teacher, subject area teacher, club advisor, coach, etc.)

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* 13. Email for your reference listed above

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* 14. Please select any specific dietary restrictions you have.

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