Girls In STEM at Tulane

SPRING 2015 ONLINE REGISTRATION FORM - FEBRUARY 28TH

Tulane University’s GIST Program provides fifth through eighth grade girls with the opportunity to meet and work with women role models in science, technology, engineering, and mathematics (STEM) fields. Workshops developed and offered by faculty and student teams encourage and empower girls to inquire, investigate, and discover in a positive environment. Our goal is to open the doors wide and welcome young students to careers in STEM fields by encouraging creative thinking, promoting self-esteem, and increasing awareness of the opportunities that await them. More information is on our website.

Directions: Please have all necessary information before beginning to fill out this online form. If you have any questions regarding this form, please email gist@tulane.edu.

Students with complete applications will be accepted on a first come/first serve basis.

STUDENT'S INFORMATION

First Name:                Last Name: 
Birth Date:    format: mm/dd/yyyy           Sex (for girls only):
Grade:                                                   T-Shirt Size:
Please select one or more races from the following six racial groups that best describes your ethnicity (optional):
American Indian or Alaska Native    Asian    Black or African American    Hispanic or Latino    Native Hawaiian or Other Pacific Islander    White
 
Please select one or more reasons that you want to participate in GIST:
I love science    I love technology    I love engineering    I love math    I’m curious about Tulane – what’s college like?    My teacher recommended it
I want to do hands-on experiments    My friend is going and talked me into it    My mom, dad, or guardian made me do it!    I’m in it for the pizza
 
Have you particpated in GIST before?   
If you answered yes to the previous question, please select the workshops that you have participated in. Any additional workshops can be described in comments.
First Workshop:      
Second Workshop:
Third Workshop:     

PARENT'S INFORMATION

First Name:    Last Name: 

Address:

City:

State: LA       Zip:
Phone :  format: 504-123-4567
Email:

SCHOOL INFORMATION

School:

City:

ADDITIONAL INFORMATION

Are there any allergies or health constraints that may keep your child from participating in any scientific activities?
Allergies?
If yes, please describe below.
Allergy Description:

max: 250 characters

It is our goal to offer a universally accessible program. If you anticipate needing any type of reasonable accommodation or have questions about campus accessibility, please describe your need here.
Accomodation:

max: 250 characters

If you want to be in the same group with a friend (or friends) and you attend a different school, please list name(s) of friends here. If you are part of a group like a Girl Scout troop, please indicate this here. We will do our best to accommodate these requests.

max: 250 characters

Any Additional Comments:

max: 250 characters