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THE HIDDEN GENIUS PROJECT IMMERSION PROGRAM APPLICATION 2017
Thank you so much for taking the time to fill out this application. We are excited to learn more about you! Please keep in mind that there is no right or wrong answer to these questions. We use this application to gauge interest and commitment, as well as to get a bit of insight into who you are. So take a deep breath, take your time, and answer thoroughly and honestly.

You may start the application and complete it later, IF you enter at least one character/letter in each required field/box.

You may also complete your responses in a word processing document (e.g. Google Docs, Word, etc.) first, then paste your responses in when you are ready to submit. This will help you spellcheck and edit your work prior to submission.

First things first...NOTICE OF COMMITMENT
I understand that The Hidden Genius Project Immersion program is a minimum 15-month commitment and, if accepted, I must commit to:

- Being an active and engaged participant.
- Attending two (2) consecutive summer sessions, seven (7) weeks in length, that run Monday through Friday, 9am-5pm.
- In between summer sessions, attending the school-year sessions every Wednesday afternoon, one additional session per week (timing based on personal preference), and one weekend day per month.

Agreement to Commit
APPLICANT INFORMATION
First Name
Your answer
Last Name
Your answer
Preferred Name (What would you like us to call you?)
Your answer
Address
Your answer
Apt
Your answer
Phone
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Date of Birth
Your answer
Email
Your answer
School Name
Your answer
What grade are you currently in
Do you have a computer at home?
Do you have internet access at home?
PARENT / GUARDIAN INFORMATION - 1
Full Name
First and Last Name
Your answer
Email
Your answer
Phone
Your answer
Relationship
Your answer
PARENT / GUARDIAN INFORMATION - 2
Full Name
First and Last Name
Your answer
Email
Your answer
Phone
Your answer
Relationship
Your answer
EMERGENCY CONTACT INFORMATION
Only fill out if it is different from Parent/Guardian Information.
Same as Parent/Guardian Information?
Full Name
First and Last Name
Your answer
Email
Your answer
Phone
Your answer
Relationship
Your answer
ABOUT YOUR SCHOOL
What is one of your favorite things to learn about or do at school?
500 character maximum
Your answer
Who is your all-time favorite teacher/school administrator and why?
500 character maximum
Your answer
Does your school offer any computer science classes?
Have you taken any computer science courses?
ABOUT YOU
In 140 characters or less create a tweet to describe who you are.
140 character maximum
Your answer
What is your proudest moment/accomplishment?
500 character maximum
Your answer
What do you want to be when you grow up (We're just curious)?
500 character maximum
Your answer
Outside of school, how do you spend most of your time during a typical week?
500 character maximum
Your answer
What is you favorite after school activity?
Your answer
How much time do you spend on your favorite after school activity (per week)?
What did you do last summer?
500 character maximum
Your answer
What is the one thing you wish you could do better?
Your answer
If you could use technology to solve any problem in the world, what would it be? How would your solution work?
500 character maximum
Your answer
Please share a story about a time when you demonstrated that you were able to be either responsible or committed.
400 character maximum
Your answer
Please share a story about a time when you demonstrated that you were able to be either motivated or passionate.
400 character maximum
Your answer
Tell us how you heard about The Hidden Genius Project. Please be specific and list any individual, organization, school or other medium.
200 character maximum
Your answer
INTERESTS
Rate your interest in the following subjects from 1 (not all interested) to 5 (very interested).
Math
Technology
Science
Arts
Music
Tell us why are you interested in participating in The Hidden Genius Project. What do you hope to get out of the experience?
2000 character maximum
Your answer
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