Application for GEMS 2008

2008 GEMS - Application

If you would like to participate in the upcoming GEMS workshops please fill out the following application form. Applications will be reviewed on a first come, first serve basis. Acceptance into the program will be confirmed via email. All of the information is required for consideration into the program.

Workshop Dates:

-April 8, 2008 (4:30pm-7:30pm)
-April 22, 2008 (4:30pm-7:30pm)
-May 6, 2008 (4:30pm-7:30pm)
-May 27, 2008 (4:30pm-7:30pm)
-June 10, 2008 (4:30pm-7:30pm)
-June 30 through July 3, 2008 (9:00am-4:00pm)

First Name:
Last Name:
Address:
City:
State:
Zip:
Phone (with area code):
School:
Science Teacher:
Mathematics Teacher:
Grade Level:
Age:
Email Address (parent's is ok):

I want to attend the GEMS workshop because: (300 words or less)
Do you have any dietary restrictions? What are your expectations for this series of GEMS workshops? Is there anything in particular you are looking forward to doing? Please select your shirt size. Youth Medium Youth Large Youth Extra Large Adult Small Adult Medium Adult Large Adult Extra Large