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Self-eSTEM - 2019 Early STEM Immersion Program Application

Self-eSTEM is now accepting applications for our 2019 program. Our program is open to young girls ages 7 - 17 (or high school seniors).

If you have attended past events, you are still REQUIRED to complete a 2019 application.

This will be used to capture demographic and critical information for ALL 2019 program events, and help streamline sign-ups for 2019 events.

Please sign-up youth if you are their parent or legal guardian ONLY.

Complete all information accurately, especially your email and phone number. Incorrect information may impact your program acceptance and attendance.

Application Deadline: Saturday, January 12, 2019.

Contact us at, if you have any questions.
Email address *
Please complete the information below.

All information will be solely used for communication and demographic purposes for Self-eSTEM only. Detailed information will NOT be shared with any other party.
Invitation Code *
Application deadline has past. All future applications require a special invitation.
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