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EBAYS Student Interest Form
Please answer the questions to the best of your ability. If you cannot answer or don't have the information, leave the answer blank.
For more information about our programs and internships, please visit
ebays.lawrencehallofscience.org
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* Indicates required question
Email
*
Your email
First Name:
*
Your answer
Last Name:
*
Your answer
Pronouns:
*
Your answer
What is an email that you check
regularly
? This is how we will get in touch with you.
*
Your answer
Name of school, if you are in school:
Your answer
Your grade level:
*
If it is summer, please indicate the grade you will be entering in the fall.
8th
9th
10th
11th
12th
I am not in high school
What is your age?
Your answer
What city do you live in?
*
Your answer
What interests you about EBAYS?
*
Your answer
How did you hear about us?
*
Your answer
Additional comments or questions?
Your answer
Thank you for completing the EBAYS Student Interest Form
You will hear from us soon. Do not hesitate to contact us with any questions at:
ebays.lhs@gmail.com
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