2022 NALU Studies

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Name*
I am applying as part of:*
NALU Studies FALL 2022 is now full. We are accepting applications only for SPRING 2022.
I am fully vaccinated and can provide documentation:*
As of April 2022, Vaccines are NOT currently required. However guidelines change and if COVID restrictions are re-instated, anyone who does not provide proof of vaccination will be dropped from this program.
My personal email address (NOT your K-12 school email address)*
A good phone number to reach you
The best number to use in case a text message is used in urgent situations.
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Parent or Legal Guardian*
Address*

School Information

What school do you attend?*

What grade will you be going into, in the Fall 2022?*

Emergency Contact

In the event of emergency, who should we contact?
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Old Emerg Cont #1
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Old EMERGENCY CONTACT #2
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About You / Demographics and Coursework

I identify my gender as:

Describe all that apply, 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
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How do you identify your ethnicity (check all that apply)?
Do you receive Special Education Services?
Are you interested in a Science Career?
Assumption of Risk, Release, & Indemnity Agreement*
Signer must be at least 18 yrs of age.
This field is for validation purposes and should be left unchanged.