STEM Interest Form
Complete this form if you are interested in receiving additional information about STEM learning opportunities provided by afterschool and summer programs providers near you. This information is being collected by the Maryland Out of School Time Network (www.mostnetwork.org) and will be shared with our trusted STEM afterschool and summer program partners.
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Student Name
Student Age
Parent/Guardian Name
Parent/Guardian Email Address  (if different from above)
Has the student participated in STEM program before?
Clear selection
How useful and informative did you find the information on the I AM STEM Alliance page?
Not Useful At All
Very Useful
Clear selection
What areas of STEM are of greatest interest?
What kinds of STEM programs are you looking for?
Clear selection
Student's Current Grade
School Student Currently Attends
County of Residence
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