YES 11.0 Application Form (for 9th-12th graders)
Thanks for your interest! To learn more about YES program, please visit here: http://necina.org/content/yes-110

YES kickoff session was successfully hold on October 22, 2016. Check out more details here: http://tinyurl.com/2016NECINA-YES-1st

Interested high school students are welcome to join us at Lexington to brainstorm ideas and form teams between 9:00 AM - 12:00 PM Saturday, 10/29/2016! Please complete this form to receive our invitation with detailed information!

Please note that students whose parents are not members with NECINA will need to pay $40 each. The fee is collected to cover our basic operation expenses and to improve our program experience.

However, you don't need to pay for now by signing up in here. After you receive our email invitation for the second session, just show up at our second session to see if YES program is for you, before you decide to make any investment!

Please email yes@necina.org if you have any questions about YES 11.0 program or registration!

Email address *
Student Name *
Your answer
Grade *
Your answer
Parent Name *
Your answer
Parent Phone Number *
We encourage you to leave us with a phone number, so that we can contact the parent in case of emergency.
Your answer
Student Email *
Your answer
Name of High School *
Your answer
Student Phone Number (Optional)
Your answer
Parent Email *
Your answer
Neighbourhood *
Your answer
Indicate whether you have submitted your application essay to yes@necina.org! Your motivation and commitment are highly valued! *
Is the student's parent a NECINA member? *
Would the student be interested in joining NECINA newsletter? *
It is FREE to join our newsletter to receive information on the latest trends on technology and business. We would highly recommend you grab this offer! ;)
Required
Would the parent be interested in joining NECINA newsletter (if the parent is not a NECINA member)? *
It is FREE to join our newsletter to receive information on the latest trends on technology and business. We would highly recommend you grab this offer! ;)
Required
Would the parent be interested in becoming a NECINA member (if the parent is not a NECINA member)? *
You can visit NECINA membership benefits here: http://necina.org/content/join-necina-0
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A copy of your responses will be emailed to the address you provided.
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