Question Title

* 1. Contact Info

Question Title

* 2. Age

Question Title

* 3. Ethnicity

Question Title

* 4. School Info

Question Title

* 5. Grade

Question Title

* 6. Were you a former Scientific Adventures for Girls student?

Question Title

* 7. Would you like to be a paid Scientific Adventures for Girls Near Peer/Teaching Assistant?

Question Title

* 8. Would you like learn more about this?

Question Title

* 9. What areas of STEM are you most interested in? (check all that apply)

Question Title

* 10. Rank in order of preference the following activities and resources that you would like to see in the Scholar Club.  Use the up and down arrows to sort the list from first choice to last.

Question Title

* 11. Please note what other workshop or activity you would like to engage in

Question Title

* 12. Please check the 4 areas you are most interested in

Question Title

* 13. Do you have any other needs or ideas not mentioned above that you would like to see in the Club?

T