2019 - 2020 Junior 100 Application
Please fill it out by December 6 2019
Email address *
Name (first and last) *
Your answer
Date of Birth *
Your answer
E-Mail Address *
Your answer
Best Phone Number to Reach You *
Your answer
Home Address *
Your answer
School Currently Attending *
Your answer
School Address *
Your answer
School Phone Number *
Your answer
Name of Principal *
Your answer
Name and Contact Information of Recommending Teacher or Guidance Counselor (Phone and E-Mail) *
Your answer
Grade *
Required
GPA/Average (4.0 or 100 scale) *
Your answer
Name of Parent/Guardian *
Your answer
Parent/Guardian Contact Information (Phone and E-mail) *
Your answer
What are your career interests? *
Your answer
(150 Words or Less) Tell us about yourself and why you feel you will be a fit for the Junior 100 program. *
Your answer
(150 Words or Less) Describe the importance of working in teams/groups and describe the role that you typically play in a team/group. *
Your answer
(100 words or less) Describe what you hope to gain from the program. *
Your answer
I understand that if accepted, I will, along with my parent or guardian, need to attend a mandatory orientation at a date later to be announced. *
Required
If selected, classes would be every Saturday for 17 weeks. Do you have any weekend commitments that would affect participation in the program? *
If Yes, please list any weekend commitments and dates if you have them *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy