MassBay Middle School STEM Summer Program 2017 Application
Thank you for expressing interest in the STEM Summer Program for Middle School Students. Please fill out the information below. When your information is received you will be sent the following three documents: Emergency contact form, Photo release form and Lab safety form, as well as further instructions about turning in these forms and the tuition for this program.

You will only be considered enrolled in the program after the three forms and tuition payment of $450 has been received.

Any questions may be directed to:

We look forward to seeing you this summer!

STEM Middle School Summer Program 2017 Banner
First Name:
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Last Name:
Your answer
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Phone Number:
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What Grade will the student be entering in Fall 2017?
Student's Current School Name:
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Gender Identity:
Racial/Ethnic Group:
If chose "Other" above, please provide answer in space provided:
Your answer
Will you need any special accommodations?
Your answer
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