Step 1 of 2 - Student Registration Information 50% Student Name First Last Student Email Student Date of Birth MM DD YYYY Student GenderMaleFemaleName of previously enrolled schoolStudent Grade Level for upcoming year (2018-2019) (Grades 6-12)6th7th8th9th10th11th12thStudent Pre-Survey QuestionsHow many hours a day do you spend on a computerized device? (Computer, Cellphone, Tablet etc.)0 - 55 - 1010 - 1515 - 20Which areas of technology are you mostly interested in and would like to grow your skills in (Please Check your top two) 3D MODELING ARTIFICIAL INTELLIGENCE CAD DESIGN AND 3D PRINTING CYBER SECURITY GAME DEVELOPMENT MINECRAFT MOD DEV ROBOTICS VIRTUAL REALITY WEB DESIGN Tell us why these areas are interested to youWhat tools / Software have you used in these areas of technologyWhat you have achieved in these areas of technology . (Awards, Projects, Research etc.) Parent/Guardian Name 1 First Last Parent/Guardian Name 2 First Last Parent/Guardian Email Parent/Guardian Phone 1Parent/Guardian Phone 2Home Address Street Address Address Line 2 City ZIP Code
