Sustainability Research Summer Camp 2023 Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Full Scholarship Available for under-represented / underserved Students - Contact via email (support@sstarsfoundation.org) for further details

Shooting Stars Foundation is pleased to announce its upcoming Environmental Sustainability Camp, designed to cultivate the next generation of environmentally conscious leaders. With experienced guest speakers, including an environmental teacher and a chief of sustainability from a leading company, as well as knowledgeable camp mentors with expertise in the field, the camp's curriculum will cover important aspects of financial, social, and environmental sustainability. Participants will engage in a research project that culminates in a final presentation to a panel of judges. Join us for an unforgettable opportunity to learn, grow, and make a positive impact on the world. Details on dates, location, age range, and application process can be found below:

Session: 1 PM - 5 PM PST
Camp date: July 17 - 21
Grades - Rising 9th - 12th (2023-24)
FREE
FULLY VIRTUAL

There are limited spots available so please sign up soon to reserve your place in the camp.

Contact below if you have questions:

Vishal - vishal.swamy75@gmail.com, 248-378-4512

Nivetha - nivy.vs10@gmail.com, 408-667-1342

support@sstarsfoundation.org

Full Name *

Email (Please list your personal email - not school associated email) *

Phone Number *

Home City *

Home Zipcode *

School Name *

Rising Grade - In August 2023 *

Age *

Please select the response that best represents your gender identity: *

Male

Female

Non-binary/non-conforming

Other

Please select the response that best represents your racial identity *

Asian or Pacific Islander

Black or African American

Hispanic or Latino

Native American or Alaskan Native

White or Caucasian

Multiracial or Biracial

A race/ethnicity not listed here

Decline to Answer

Are you a first generation student / graduate in your family ? *

Yes

Do you qualify for Free / Reduced Lunch at school ? *

Yes

Parent Name *

Parent Phone Number *

Parent Email *

Father and Mother Company Name (For Grants Reach out purposes) - Please write both their company names *

Please indicate your level of experience with anything sustainability related. *

I have no experience with environment/sustainability.

I am very familiar with and comfortable with environment/sustainability.

What are you hoping to gain from this camp? *

What kind of major do you want to pursue in college? *

How did you hear about this camp? (Organization, counselor, friends, family, WhatsApp, email list, social media, etc) *

If you were referred by an organization, please name them here! *

Liability Waiver Accepted by Parent *

By saying yes below, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages, or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance Shooting Stars Foundation Inc, its officers, student and parent volunteers from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. I hereby give my consent to Shooting Stars Foundation to take photographs, video recordings, and/or sound recordings of me during my participation. I grant Shooting Stars Foundation my permission to use the negatives, prints, motion picture, video tapings, or any other reproduction of the same for promotional purposes on flyers, on the World Wide Web, or in any other manner deemed necessary. I expressly state that I have read, understand and am familiar with all provisions herein. I understand that this release is a contract and I sign it of my own free will. I agree to all terms and provisions herein.

Required

Signed By (Participant Over 18 or parent, if participant is under 18) *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms