Interest Form - NOVA Science Studio at 826 Boston

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Please fill out the form below if you are interested in enrolling in the NOVA Science Studio program at 826 Boston. Please note: the program will run on Monday and Wednesday evenings (7:00-8:00 PM) from November through May excepting school vacations and federal holidays. All sessions will be held at 826 Boston (3035 Washington Street in Roxbury). The program is open to students in grades 9-12.

Completing this form does not guarantee placement in this program. 826 Boston staff will contact you to confirm availability and acceptance into the program. Students who successfully complete the program will be awarded up to $350.

First Name *

Last Name(s) *

Phone Number *

Age *

Grade in 2018-2019 school year *

Ninth Grader

Sophomore

Junior

Senior

Other:

School *

Neighborhood of Residence *

Why are you interested in participating in the NOVA Science Studio at 826 Boston? *

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