ScienceWorks Design for Good Application
Design for Good is a ScienceWorks after school engineering design program for middle school students. Please complete all parts of the application and submit it by Friday, March 24.
First Name *
Your answer
Last Name *
Your answer
School *
Your answer
Grade *
Age *
Your answer
Your email address (if you have one)
Your answer
Parent email address *
Your answer
Best phone number to contact you *
Your answer
In a few sentences, describe a time in your life when someone did something to help you out. What did they do that made their actions helpful? *
Your answer
What do you do with your creativity? Everyone has a creative bug in them. How do you use yours? What things do you do that you would call creative? *
Your answer
Please ask one teacher to be a reference for you and give their email here. We will contact them. *
Your answer
Your family might qualify for a scholarship. We have scholarships designated for this class. If you think you might qualify, please fill out the scholarship application form on the Education/After School Programs page of the ScienceWorks website. Do you plan to apply for a scholarship? *
Submit
Never submit passwords through Google Forms.
This form was created inside of ScienceWorks Hands-On Museum. Report Abuse - Terms of Service - Additional Terms