NP SciOly Student Information Form 18/19
This form is required for all NP SciOly members. Make sure you see the message saying you can close your window before you log out. You must fill in all required information. The required information has a red asterix next to it.

Your e-mail address below is your NP E-mail address

Email address *
First Name *
Last Name *
Your Grade *
Your Student ID Number *
We need this for the attendance system
Your Computer Username *
This will help us get you access to team only programs. The tech department asks us to provide them with a list of usernames so they can grant permissions.
How many years have you been on the team including this year *
Include this year as 1
Were you involved with Junior Academy of Sciences in the Middle School *
Home e-mail address (Backup)
Your primary e-mail address will be your school address
Cell Phone Number
Format it as 570-123-4567 This is the phone you will take to competitions with you
Home Address *
This is the physical location of your house.
City, State Zip *
Please place the comma in the correct spot. PA should be capatilized
Emergency Contact Name *
Emergency Contact Phone Number *
Format it as 570-123-4567. The should be a phone number the person is at a majority of the time we are meeting
Teacher Recommendation *
Please provide the name of 1 teacher that will act as your reference that is not a Science Olympiad Coach.
T-Shirt Size *
All are adult sizes
Long Sleeve Shirt Size *
All are adult sizes
Returning Members do you want an additional t-shirt or long sleeve shirt? *
All are adult sizes
Do you have any activities or sports that will interfere with Science Olympiad from now until May?
List everything that is going to interfere. For example: Track, Softball, Cheerleading. It is ok that you are in these events. We need to know so we can plan for your absence.
Please check classes you have had or are currently taking
Physical Science
AP Biology
AP Chemistry
AP Enviromental
AP Physics
Ecology / Energy
Human Physiology
Energy, Power, and Transportation
Wood Technology
Communications Technology
Pre Engineering: Architectural Drawing
Principles of Engineering
Java Programming
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