North Carolina STEM Camp Scholarship Application
Brought to you by STEM Revolution
Parent's first name:
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Parent's last name:
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Parent's email address:
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Camper's name:
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Gender:
City, State, & Zip:
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School:
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Grade level for Fall 2017:
Do you qualify for free or reduced lunch?
In one or two sentences, why would you like to attend a STEMbusUSA / STEM Revolution camp?
Your answer
I certify that all of the information furnished on this form is true, complete, and correct to the best of my knowledge. I understand that such information is subject to verification by STEM Revolution.
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