The Bruin Experiment - Student Sign Up
Welcome to TBE! We are so excited to meet you and work with you this year. Please fill out this form if you would like to be a part of our program this year. The form should take about 5 -10 minutes to complete and consists of three components:
1) Basic Info
2) Contact Info
3) Interests

Please direct questions or comments to

Bienvenido a TBE! Estamos muy emocionados para conocerte y trabajar contigo este año. Por favor completa esta forma si te gustaría ser parte de nuestro programa este año. Esta forma te tomará entre 5 -10 minutos para completar y son 3 partes básicos:
1) Información Básica
2) Información Personal
3) Intereses

Por favor dirija sus preguntas o comentarios a:
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Email *
Student Full Name (Nombre Completo del Estudiante) *
Parent/Guardian Full Name (Nombre Completo del Padre o Tutor) *
School (Escuela) *
Grade (Grado) *
Have you participated in The Bruin Experiment before? / ¿Has participado antes en The Bruin Experiment? *
Check all of the following that you have access to: (Marque todo a lo que tiene acceso): *
Will you be able to attend your school's time? Mark Twain will meet on Mondays from  3:30 - 4:40. Bancroft will meet on Thursdays from 3:45 - 5:10. Palms will meet on Wednesdays from  3:15 - 4:20. (¿Puedes atendar el tiempo de tus escuelas? Twain va a encontrar en Lunes a  3:30 - 4:40. Bancroft va a encontrar en Jueves a  3:40 - 5:10. Palms va a encontrar en Miercoles a  3:15 - 4:20.) *
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