Summer 2013 Science Academy Registration
Science Academy will run August 5th-9th, 9 am to 3pm.  If you are interested in being considered for Science Academy and are enrolled or waitlisted in Chemistry 22, Fall 2013,  fill out this form and we will confirm your acceptance. You only need to fill this form out one time. You may not get a confirmation that the form has been filled out.
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What is your last name? *
Last name please
What is your first name? *
First name please
Student ID *
Please enter your student ID
Email Address *
We will contact you to let you know you are accepted into the academy using this email address, so please give one you check regularly
Address *
Phone Number *
What is your Major? *
What is your year in School? *
Are you enrolled in Chemistry 22 Fall 2013? *
Required
If you are enrolled/waitlisted in Chemistry 22, select your Instructor from the list. *
Required
Are you enrolled in Math Academy Summer 2013 *
You cannot attend both Science academy and Math Academy. They occur at the same time. Pick one.
Required
Your name again please *
The form is an excel spreadsheet and by doing this you are helping us to easily use all the informaiton
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