#IAmCS Student Led Computer Science Virtual Summit - Event Registration Form

We are having a fully student-led virtual event for NC students who are interested in Computer Science, Technology, and STEM! Please fill out this form to participate.

Date Of Event: May 15th 2021
Time Of Event: 10am - 2:40pm
Location: Zoom
Contact us at mary.hemphill@dpi.nc.gov or sheneka.revis@dpi.nc.gov

Eligibility: Currently enrolled NC middle school & high school students

Please complete and submit this form by Thursday, May 13, 2021.

Please Use These Links To Learn More About #IAmCS

NC DPI Article:
https://www.dpi.nc.gov/news/press-releases/2019/10/24/computer-science-campaign-focuses-girls

Youtube #IAmCS Playlist:
https://www.youtube.com/playlist?list=PL6JYMm0YidCmo5nVYXZWV2Qe6j1g4DpQD

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* 1. What is your first and last name?

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* 2. Grade Level

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#IAmCS Student Led Computer Science Virtual Summit - Event Registration Form

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* 1. What is your first and last name?

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* 2. Grade Level

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* 3. School and County (Where you are currently enrolled)

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* 4. Why are you interested in STEM?

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* 5. How have you taken the initiative to involve yourself in STEM?

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* 6. Phone Number (Best Contact Number for Participant)

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* 7. Email (Best Contact Email for Participant)

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* 8. Parent and or Guardian Name and Phone Number

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* 9. Parent and or Guardian Email

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* 10. Mailing Address