*Student First Name: *Student Last Name: *Student Street Address: *Student Town, State and Zip: *Student Home Phone: *Student Cell Phone: *Student Current Grade (6th, 7th, 8th, or 9th): *Student Email: *Student Birthday: *Parent Name: *Parent Address: *Home Phone: *Parent Work Phone: *Parent Cell Phone: *Parent Email: *School Attending: *School Phone Number: *Science Grades for the last 3 marking periods: *Math Grades for the last 3 marking periods: *Science Teacher (name and email) we can contact for a recommendation. Please remember to give the permission form to your teacher: *Math Teacher (name and email) we can contact for a recommendation. Please remember to give the permission form to your teacher: *Course Preference -- 1st choice *Course Preference -- 2nd choice *Needs-based scholarships are available. *1. Think of one science or math project that you feel you performed well on. What was the project? How could you apply what you learned in completing this project to a future activity? (If you have already answered these four questions for a previous course, or if you attended our Code Secrets summer camp, you do not have to answer them again. Just enter NA so the form is happy.)
*2. When working on a science or math project, would you rather work alone or as part of a team? Please explain why. *3. In a team project, what personal strengths or talents do you "bring to the table?" Can you provide a specific example of how you contributed to the success of a past team project? *4. What is your favorite area of science, math or technology? Why? *Where did you hear about The Stars Challenge? *Do you have any comments or input for us? *Date. * fields are required
