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SHELL ENERGY CAMP LOUISIANA 2018
Fill out the following information if would like to attend the free SHELL ENERGY CAMP June 4 to June 8. You will be emailed within 2 weeks of receipt with further information.
Student First Name. *
Type your first name. No nicknames, please.
Your answer
Student Last Name. *
Your answer
Which school do you currently attend? *
Write the last name of your current science teacher. *
Your answer
In what grade are you currently enrolled? *
Select the year in which you were born. *
Enter your (student) cell phone number including area code. If you do not have a cell phone, leave the space blank.
Do NOT include dashes or spaces. Example: 5048125452.
Your answer
Enter an adult (parent or guardian) telephone number including area code. *
Do NOT include dashes or spaces. Example: 5048125452
Your answer
Enter your personal (student) email address. *
If you do not have an email address, leave this bank. Example: ilovescience@gmail.com
Your answer
Enter an adult (parent or guardian) email address.
If you do not have an email address, leave this bank. Example: adult@gmail.com
Your answer
I will be able to attend camp orientation the evening of Thursday, May 31. Orientation attendance is preferred but not mandatory. *
Answer on a of scale 1-5, 1 being the lowest and 5 being the highest.
Strongly disgree
Strongly agree
I will be able to attend the entire week of camp. *
Answer on a scale of 1-5, 1 being the lowest and 5 being the entire camp.
One day only
All 5 days
Select the answer that BEST describes you. *
Please be honest with your answers. If you do not like math, it's OK to say so. We hope by the end of camp you will like it at least a little more!
Agree
Sort of Agree
Not Sure
Sort of Disagree
Disagree
I like science.
I like math.
I think science class in school is boring.
I think math class in school is boring.
I feel like I can talk to my teacher about a career (job) in science or math.
State why you are interested in attending the camp and what you hope to learn. *
Please limit your response to 250 words.
Your answer
How did you hear about us? *
Your answer
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