GABBR LSAMP 2021 Summer Academy Application Form
The 2021 Summer STEM Academy will take place from June 1 - July 1, 2021 and is open to students who will have completed grades 7 - 10. Please complete the application form below as soon as possible, but before May 14, 2021.
First name: *
Last name: *
What grade will you be finishing in May 2021? *
In which county do you currently attend school? *
What is the name of the school you currently attend? *
Current GPA: *
Home mailing address: (Street, City, State, ZIP) *
E-mail address: *
Anticipated career or college major: *
In the space below, please write a few sentences about why you want to attend the 2021 Summer Academy. *
Parent's name: *
Parent's phone number: *
Parent's e-mail address: *
Race/Ethnicity: (select all that apply)
Gender:
Clear selection
Do you have any type of documented disability?
Clear selection
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