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CHARGEnorth Student Interest Form 2019
By filling out this form, you are expressing your interest in being a part of the 2019-20 CHARGEnorth cohort and will therefore be entered into the lottery process for admission selection.
First Name *
Your answer
Last Name *
Your answer
GCPS Student ID *
Your answer
Student Email Address *
Your answer
Street Address *
Your answer
City, State, Zip Code *
Your answer
Parent Name (first and last) *
Your answer
Parent Phone Number *
Your answer
Parent Email Address *
Your answer
I am currently enrolled in Accelerated Algebra or higher. *
I am currently enrolled in Biology. (This is not a program requirement.) *
I am currently enrolled in Foundations of Engineering. (This is not a program requirement.) *
I have read the description and course requirements for this program and am interested in enrolling in the CHARGEnorth STEM pathway. *
Write a paragraph in response to ONE of the following prompts: (1) What is a community or real world issue that you would like to try to solve? How could you use STEM to create change in this area? OR (2) What is something that you are passionate about (art, music, service, etc.)? How could you incorporate that passion into your STEM pathway experience? *
Your answer
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