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Student Indication of Interest


Interested in attending NWRI's High School Science Academy? Please complete and submit the form below.

First Name:
Last Name:
High School:
Year in School:
Phone Number:
Referring Teacher:
What science classes have you taken?
What do you expect to do after high school?
Why do you want to participate in this program?
How have you demonstrated your interest in science in and outside of school?
Will you commit to attending all sessions if accepted into this program? (Full-Year Attendance is a requirement of program participation.)