Berkeley Lab High School Interest Form
Sign up to receive alerts about Berkeley Lab programs specifically for students!
Sign in to Google to save your progress. Learn more
First Name
Last Name
Email Address *
High School *
City, State of High School or Country (if you reside outside to the United States)
Grade *
Subject Area(s) of Interest *
Required
What are some activities that you would like to participate in? *
Required
Are you currently involved in a science or engineering themed club or team? *
What are some activities that you would like to participate in at the Lab?
Have you ever been to the Lab? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Berkeley Lab (Univ of California).

Does this form look suspicious? Report