Green Tech Student Application
Please fill out this form as completely as you can. All information is kept confidential among Green Tech staff and is used only for data and funding purposes. If you are a parent filling out this application on behalf of the minor, please fill it out with your child as these questions are subjective to them.
Email address *
Full Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Primary Phone number
Your answer
Alternative Contact Number
Your answer
Address (Include City, and Zip Code)
Your answer
What is your preferred method of communication? *
If social media, provide preferred platform and name. (For example: "Facebook - G. Tech")
Your answer
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