Request edit access
STEM Summer Questionnaire
If you are interested in engaging with BostonTechMom for STEM summer planning services, please complete this free, no-obligation questionnaire. Your answers will help BostonTechMom determine whether we can help you and your child find potential programs that meet your criteria.
Sign in to Google to save your progress. Learn more
Parent's first and last name *
Street address
City *
State *
Zip *
Email *
Phone
Your child’s name
Age *
Current year in school *
Gender
Clear selection
Check all that apply.
What have you budgeted ($) to spend on STEM summer programs? This information is necessary to ensure the development of a realistic plan.
How much are you willing to spend per program? *
Required
How many weeks do you hope to enroll your child in a program or programs? *
Select the weeks your child is available in 2025. *
Required
Desired type of program. Check all that apply. *
Required
What is your preference on the setting? Check all that apply. *
Required
Desired type of learning style. Check all that apply.
What is the distance in miles you are willing to travel from your home address?
What are your child’s favorite classes/subjects in school?
Tell us about previous STEM camps and programs your child has attended outside of school, and what his or her experience was.
Tell us about specific STEM skills or experience your child has.
What subject matter are you looking for? Check all that apply. *
Required
What are your goals and expectations for a summer program? Please be specific.
Is there an area of expertise or skill your child is trying to acquire or improve?
Is there any additional information you want to share?
How did you hear about BostonTechMom?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of bostontechmom.com. Report Abuse
Google Forms