"*" indicates required fields

Student/Participant Information:

If your student is a returning participant, please be careful to use the same spelling as prior applications
Legal Name*
The best number to use for urgent messages
MM slash DD slash YYYY
I identify my gender as:

Such as: Hispanic or Latino/a; Arab or Arab American; Native American or Aleut; Caucasian (non-Hispanic); Black or African American; Asian or Asian American; Pacific Islander; Native Hawaiian. or other description.
What school do you attend?*

Grade*
Are you interested in a Science Career
Do you have an IEP or accomodations we should be aware of?
Why are you interested in Kilo Kai, what marine science interests do you have, what to you hope to gain, and what do you have to offer?
Please describe how you identify yourself, such as: Hispanic or Latino/a; Arab or Arab American; Native American or Aleut; Caucasian (non-Hispanic); Black or African American; Asian or Asian American; Pacific Islander; Native Hawaiian. or other description
Are you interested in a Science Career?
Do you receive Special Education Services?

Parent or Legal Guardian Information. Students 18 years and older, please complete with Emergency Contact Person's information.

Parent/Guardian*
This field is for validation purposes and should be left unchanged.

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