Stem - YMCA of the Roses

STEM Application

Child's First Name

Child's Last Name

DOB

Age

Gender

Male

Female

Parent1/Guardian1 First Name

Parent1/Guardian1 Last Name

Parent2/Guardian2 First Name

Parent2/Guardian2 Last Name

Address

City

State

Zip

Phone Number

Email Address

School

Grade

Teacher's Name (Homeroom, Adviser, etc.)

Why are you interested in STEM?

What other after school or summer activities do you participate in?

What is your favorite subject in school?

What program(s) are you interested in?

Competitive Robotics Team (RoboThinkers)

K-12 Noncompetitive Robotics Program

Architectural Design & 3D Modeling

Engineering College Prep Mentorship Program

Computer Programming

Math Tutoring Club

Graphic Design & Digital Media