QuarkNet
Student Application for Summer 2008
Please print this page, complete the application and mail or fax to the address/number at the bottom of the page. (Priority is given to current juniors in high school.)
Name ____________________________________ Telephone # ___________________
Address
__________________________________ email _________________________
City, State, Zip _____________________________ School _______________________
Science Teacher's Name ______________________ Present Grade _________
Teacher's email
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List High School Science, Math & Computer classes and the grade
earned in each. Also, list any computer experience that you have.
How did you hear about QuarkNet?
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If you have any commitments this summer (camps, family vacations),
please list them here so we can work out any scheduling conflicts.
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Explain in 50 words or less, why you are interested in being involved with QuarkNet.
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