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Winter/Spring STEM Registration

Winter/Spring 2017 Participant Application

Ground Drone Assembly & Arduino Coding Thank you for your interest in the STEM enrichment programs presented through the partnership of S.T.E.M. Community Outreach and the Laurel-Jones County Library. To be considered for program participation, please complete all sections of the application, which includes a short answer questionnaire on back. Application submission deadline is Wednesday, January 10, 2018. Selected participants will be notified of selection on Friday, January 12, 2018, via phone and email. All questions regarding program details and application should be emailed to stemcommunityoutreach601@gmail.com

  • Program Information

    Winter Session Dates
    Grades 3-5: Tuesdays, Jan. 16 – Feb. 20 at 3:30-4:30pm
    Grades 6-8: Thursdays, Jan. 18 – Feb. 22 at 3:30-4:30pm

    Spring Session Dates
    Grades 3-5: Tuesdays, March 20 – April 24 at 3:30-4:30pm
    Grades 6-8: Thursdays, March 22 – April 26 at 3:30-4:30pm

  • Student Information

  • Parent/Guardian Information

  • Other Parent/Guardian (if applicable)

  • Household Info

  • Signatures

  • Please print name
  • Date Format: MM slash DD slash YYYY
  • Please print name
  • Date Format: MM slash DD slash YYYY

  • Short Essay Questions

    INSTRUCTIONS: The questions below are designed to give us insight about your interest in science, technology, engineering, and math (STEM). Please use the space below to answer the following questions. Answers must be written in a neat and clear manner using complete sentences.

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