Girls in Science Club 19-20 Application
Applications are due by Wednesday Sept. 4th, 2019
Applicant First & Last Name: *
Your answer
Age: *
Your answer
Date of Birth: *
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Grade Level *
Parent/Guardian Name: *
Your answer
Parent/Guardian Email: *
Your answer
Primary Telephone Number: *
Your answer
Secondary Telephone Number: *
Your answer
Name of the person for secondary telephone number: *
Your answer
Are you in Primetime? *
Did you fill out the Roosevelt After School Enrichment (ASE) club application? If not, fill out the application here: https://friendsofroosevelt.org/programs/ase/ase-application/ *
NEW APPLICANTS: Please tell us why do you want to be a part of the Girls in Science program?
RETURNING APPLICANTS: Please tell us why you want to continue with the program?
Please answer the question above that applies to you. Your essay must be at least 3 paragraphs long. Paragraphs must be at least 4 sentences long. *
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