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STEM SQUAD Workshop Form
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Email
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Your email
Student Last Name
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Your answer
Student First Name
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Your answer
Student Grade Level
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Elementary 4th - 6th
Middle School 7th- 8th
High School 9th-12th
College Undergraduate
Post Education
Parents First and Last Name
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PHONE NUMBER
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WORKSHOP INSTRUCTOR
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Bernard Nealy Sr.
Anthony McGee
Patrica King
Chris Chatmon
Kareem Cannon
Bernard Nealy Jr.
Cliff Shaw
WORKSHOP DATE
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MM
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DD
/
YYYY
Payment Method - Organization
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100 BMOGH
Girls Inc.
Personal
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