2018 Worcester STEM Leadership Cohort Application
This is the online application form for the Worcester County Economic Development STEM Leadership Cohort, administered by the Sinepuxent Group LLC. Please preview the entire online application before beginning your submission, as you will need to compose your essay response and gather information in advance, such as the email addresses for teacher recommendations. The application also requires current transcripts. Please allow your guidance counselor several days notice to process transcripts on your behalf. Transcripts should be mailed to STEM Leadership Cohort, Worcester County Economic Development, 100 Pearl Street Suite B, Snow Hill, Maryland 21863. Completed applications (both this online form and the mail-in transcripts) must be received by March 31, 2018. Please contact fawnmete@gmail.com with any questions about the application process, or call Fawn Mete at 410.458.1325.

If you were a member of the 2016 or 2017cohort, you are not eligible to participate in this summer's cohort. If you are a current 11th grader who was a member of a previous cohort, you are eligible to complete an application for the STEP UP STEM Internship Program.

Email address *
Student Name (First Middle Last) *
Your answer
Mailing Address *
Your answer
Date of Birth *
(mm/dd/yy)
Your answer
Current Year of Schooling (2017/2018) *
Student Email Address *
(please plan to check this account regularly as email is the primary means of program communication)
Your answer
Current School Attending *
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Email Address
Your answer
Primary Phone Number *
(this should be the student's cell phone number, if he/she has one)
Your answer
Alternate Phone Numbers
Your answer
Transportation *
STEM Career Areas of Interest *
Please check any and all that apply.
Required
Demographic Information
In order to determine the degree to which members of demographic groups are served by this county funded program, we collect data regarding gender, free and reduced lunch eligibility, and race/ethnicity. You may decline to answer these questions. A goal of the program is to provide increased opportunity to students from demographic groups that are traditionally underrepresented in STEM careers, including females, minorities, individuals with disabilities, and individuals from low income families. Indicating if you have a disability in the appropriate place on the application form will help us to plan accordingly and make appropriate accommodations.
Race/Ethnicity *
(please check all that apply)
Required
Gender *
Does the student's family qualify for federal assistance programs for low income families? *
Individual with Disability *
(please check all that apply)
Required
Previous Work Experience
Employer/Position/Supervisor Name/Supervisor Phone Number/Dates of Employment
(if applicable)
Your answer
Teacher Recommendation *
Please provide the name and email address of a teacher that can speak to your academic skill, overall maturity, self-motivation, and competency working as a member of team.
Your answer
Community Member Recommendation *
Please provide the name and email address of a non-related community member who can speak to your maturity level, community involvement, and ability to present and conduct yourself professionally. The community member may be someone that the applicant knows through a club, organization, team, religious group, volunteer capacity, or former employer.
Your answer
Essay *
100-200 words discussing your specific interest in STEM, your achievements, and your goals.
Your answer
Supporting Documents
Please click "submit" below to complete the online portion of the application. To be considered for an interview and placement, your transcripts need to be received by March 31, 2018. Please allow sufficient time for your school's guidance counselor to provide you with this documentation.

Worcester STEM Leadership Cohort
c/o Worcester County Economic Development
100 Pearl Street Suite B
Snow Hill, MD 21863

Email questions to fawnmete@gmail.com or call 410.458.1325.

A copy of your responses will be emailed to the address you provided.
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