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Berkeley Lab High School Interest Form
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* Indicates required question
First Name
Your answer
Last Name
Your answer
Email Address
*
Your answer
High School
*
Your answer
City, State of High School or Country (if you reside outside to the United States)
Your answer
Grade
*
Freshman
Sophomore
Junior
Senior
Other:
Subject Area(s) of Interest
*
Chemistry
Computer Science
Physics
Big Data
Biosciences
Earth and Environmental Science
Nanotechnology
Other:
Required
What are some activities that you would like to participate in?
*
Internship
Teen Science Cafe
Short Science Courses (taught by Lab/UC Berkeley staff)
Design Challenges
Other:
Required
Are you currently involved in a science or engineering themed club or team?
*
Yes
No
What are some activities that you would like to participate in at the Lab?
Your answer
Have you ever been to the Lab?
*
Yes
No
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