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* Indicates required question
What is your first name?
*
Your answer
What is your last name?
*
Your answer
What core team are you on?
*
Dream
Quest
Wizards
Prodigy
Titan
What grade are you in?
*
Grade 5
Grade 6
Grade 7
Grade 8
What is the last name of your Den Leader?
*
Your answer
Describe your Brainado in 20 words or less
*
Your answer
What specific adults do you know who can help support your Brainado? (Think of school staff, parents, community members, coaches, local business owners, relatives, etc)
*
Your answer
What is one challenge you see with your Brainado?
*
Your answer
My Brainado is related to (check all that apply):
*
Sports
Art
Music
Drama
Dancing
Computers/Technology
Construction
Engineering
Science
Math
English
History
Foreign language
Food
Other:
Required
What ideas do you have for sharing your Brainado at the end of the 10 sessions?
Your answer
At the moment I would rate my interest in participating in the end-of-Brainado showcase to share my work with the CBMS community as:
Definitely not interested- I will share in a different way.
1
2
3
Sign me up- I'll be there ready to share!
Clear selection
For the next Brainado session, my need for help in order to move ahead is:
I don't need help right now and am ready to get to work!
1
2
3
4
5
I am stuck and need help as soon as possible!
Clear selection
I am excited about this project.
Strongly disagree
1
2
3
4
5
Strongly agree
Clear selection
Submit
Clear form
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