Sign Up for YES 14.0 (Deadline: 10/10, 11:59PM)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thanks for your interest!

Please note that students whose parents are not members with NECINA nor Thermo Fisher Scientific employee will need to pay $40 each. The fee is collected to cover our basic operation expenses and to improve our program experience. Students whose parents work for Thermo Fisher, our sponsor this year, can also attend our program for free.

However, you don't need to pay for now. Just sign up here and enjoy our first session for FREE to see if YES program is for you. We will start charging from the second session.

Please email yes@necina.org if you have any questions about YES 14.0 program or registration.

First Name of Student *

Last Name of Student *

Grade *

Other:

Parent's Name *

Parent's phone number *

Parent's email address *

Student's email address *

Name of High School *

Neighborhood *

Student's phone number (optional)

How do you know about YES program?

Thermo Fisher Scientific ERG news letter and Yammer

the NECINA News Letter and WeChat Group

Word of Mouth, my friends told me about this

Other:

Parent(s) group

Thermo Fisher Scientific Employee

NECINA Member

Other:

Clear selection

Are you interested in becoming a NECINA member?

Yes, I will sign up as member

No, I am not interested.

Other:

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms