Thank you for your interest in our Summer Science Institute from June 24-26, 2020. Space is first come first serve and limited.

Due to the ongoing COVID-19 outbreak, it is possible that the BioEYES Summer Science Institute (SSI) for 2020 may be postponed. We are still accepting applications, and if we do postpone those who sign up now will be first in line when SSI resumes. No payment will be accepted until we are certain that it is safe for SSI to take place.  

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* 1. Full Name

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* 2. Preferred email (school or personal)

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* 3. District where you teach

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* 4. School/Organization name

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* 5. School/Organization  Address

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* 6. Type of School

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* 7. Subject(s) taught (e.g. biology, chemistry, etc.)

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* 8. Number of years teaching

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* 9. Grade levels taught

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* 10. How did you hear about this program?

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* 11. If you heard about our program through a website, please specify which one

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* 12. Have you participated in science research before? 

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* 13. If you answered "yes" above, please explain. 

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* 14. If you have any special needs, concerns, or comments, please use this space to explain them. 

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* 15. Please indicate your gender

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* 16. Please indicate how you would describe your ethnic group (select all that apply)

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* 17. Briefly state why you would like to participate in the Summer Science Institute and what makes you a good candidate. 

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* 18. Briefly state what areas in life science and/or research you are most interested in learning about during the Institute.

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