Name *

Preferred name

First Name

Last Name

Phone *

Country

(###)

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Is it ok to text you? *

Yes

No

What year of school are you currently completing? *

9th grade

10th grade

11th grade

12th grade

Which programs are you interested in participating in? *

Please check any program you're interested in. If you need help deciding, we can discuss in our interview. And you can participate in more than one!

Identity & Prejudice; June 20 - July 1, 10:00AM - noon ET

The Science of Social Connection, June 20 - July 1, 12:30 - 2:30pm ET

Peak Performance: The Science of Getting Things Done; July 5 - 15, 12:30PM - 2:30PM ET

Wellbeing: The Science of Self Care; July 5 - 15, 10:00AM - noon ET

Social Sciences for Social Problems, July 5 - 15, 12:30PM - 2:30PM ET

Social Sciences for Social Problems, August 1 - 12, 10:00am - noon ET

Identity & Prejudice; August 1 - 12, 12:30 - 2:30pm ET

Parent / guardian 1 - name *

First Name

Last Name

Parent / guardian 1 - phone number *

Country

(###)

###

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Parent / guardian 2 - name (optional--include if you want included on parent communications)

First Name

Last Name

Parent / guardian 2 - phone number

Country

(###)

###

####