Amp Lab Programs - Potential Student Interest Form
Families interested in learning more about or having their student attend Amp Lab at Electric Works, the Pearl Arts Innovation Institute, Amp Lab at The Refinery, or the 3Rivers Banking Internship Program can submit their information via the form below.  This information will be shared with the student's home high school counselors.

Currently, 9th grade students in FWCS apply for their 11th grade year.  10th and 11th grade students outside of FWCS apply for their 11th or 12th grade year.

Any questions can be directed to Amp Lab Director Riley Johnson at riley.johnson@fwcs.k12.in.us or by calling 260-467-7360.
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Student First Name *
Student Last Name *
Student E-mail
What program are you interested in? *
Required
High School *
Graduation Year *
Preferred Amp Lab Session *
Parent/Guardian Name
Parent/Guardian E-mail
What questions do you have about the Amp Lab programs? (Optional)
Any additional comments? (Optional)
Submit
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