Oceanography Bermuda Application July 1-7, 2018
The Bermuda Oceanography trip is for a student and parent to travel together. This application has three sections: Student/Parent Information, Student Questionnaire and Parent Questionnaire. Once the application is completed use the SUBMIT button at the bottom of the page to send your application to the STEM Institutes.
Student First Name: *
Your answer
Student Last Name: *
Your answer
PSD Student ID Number: (for Poudre School District Students)
Your answer
Parent Traveling First Name: *
Your answer
Parent Traveling Last Name: *
Your answer
Parent Email Address: *
NOTE: Please use email you check frequently.
Your answer
Home Phone Number: (required) *
Your answer
Cell Phone Number: (required) *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Student Current Grade in School: *
School AttendingThis Year: *
Your answer
School Attending Next Year: *
Your answer
Student Birth Date: *
MM
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DD
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YYYY
Gender: *
Student Questionnaire Section
Please list any academic enrichment or extracurricular programs (hobbies, sports, clubs, etc.) in which you have participated during the summer or academic year. Please note if you received any honors or awards.
Have you ever attended the STEM Institutes at Preston, Webber or Poudre? (weekend workshops not included) *
What academic camps have you attended? Include year. *
Your answer
Extracurricular Activities - Include Year *
Your answer
What made you want to apply to attend the Oceanography Bermuda trip? *
Your answer
What have you done in your school or community that you consider outstanding? *
Your answer
Parent Questionnaire Section
Please help us get to know your child by answering the following questions:
Has your child ever been recommended for any other gifted programs? If so, please explain. *
Your answer
Why do you want your child to attend this program? *
Your answer
What three adjectives would you use to describe your child? *
Your answer
What other information would you like for us to know concerning your child? *
Your answer
Do you have any expertise in biology, history or geology and would like to help facilitate a session while in Bermuda? *
Your answer
Please review the information entered and press the SUBMIT button below.
Submit
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