Dearborn STEM
This is the registration form specifically for any Middle School student interested in joining the Maize and Blue Math Circle.

Note: Applicants will be selected based off eligibility and a short essay question towards the end of this application.

First Name:
Your answer
Last Name:
Your answer
Email Address:
Your answer
School:
Your answer
Grade:
Grade level in school.
Age:
Parent/Guardian Name:
Your answer
Parent/Guardian Email:
Your answer
Parent/Guardian Phone Number:
For emergency purposes. Please include area code.
Your answer
Describe why you want to be a part of the Maize and Blue Math Circle Program.
Please answer in short essay format. This question will determine who will be invited to join the program.
Your answer
I, the student, certify that I have written the essay myself.
Required
How did you hear about us?
Your answer
Thank you!
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