#scienceFTW 2013 Registration

Applicant Information

 
This is the application for high school students for #scienceFTW: Building Card Games program.

Application deadline is Tuesday, October 15, 2013, 5PM. However, the program can close earlier if all spots are filled.

Program dates:
20 session program
Mondays and Wednesdays, 4:30 - 6:30
Oct 28, 30, Nov 4, 6, 13, 18, 20, 25, 27, Dec 2, 4, 9, 11, 16, 18, Jan 6, 8, 13, 15, 22. There will be no session 11/11 for Veteran’s Day and an optional session on 1/20 for Martin Luther King Day.

Please also note that your application is not complete until this entire form is completed. There are no fees for this program

Students will be notified of acceptance/rejection via email by October 15th, the latest.

(If you want to review details about the program before applying, please go here: http://www.amnh.org/learn-teach/grades-9-12/scienceftw-building-card-games, or direct questions to Barry Joseph at digitallearningatamnh@gmail.com)
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1. Applicant Name
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2. Applicant Date of Birth (MM/DD/YYYY)
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3. Applicant Gender
4. Language(s) spoken at home
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5. Applicant Contact Information

Please enter only information that pertains to the applicant in this section.

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6. With whom does the applicant live?