Sponsor: Building Leaders for Advancing Science and Technology
Program: Building Leaders for Advancing Science and Technology
Frequently Asked Questions
First Name: | |
Middle Name: | |
Last Name: | |
Preferred Name: | |
Email: | sample-applicant@example.com |
Street Address: | |
, VA ZIP Code +4 Lookup | |
Student Phone: | ( ) - |
Birthdate: | |
Are you a US citizen or Legal Permanent Resident? | |
Are you a Virginia Resident? | |
What is your current grade? | 8th Grade 9th Grade |
T-shirt size: | Male adult sizes. |
How did you hear about the Building Leaders for Advancing Science and Technology? Please Describe: |
|
Gender at Birth: | |
Gender Identity: |
Your responses to the following will only be used to assign housing if you are selected to participate in BLAST. It will not be shared with the scoring committee. In this application, nonbinary includes all gender identities that do not fit within the male and female binary. |
Parent/Legal Guardian First Name: | |
Parent/Legal Guardian Last Name: | |
Parent/Legal Guardian's Work or Cell Phone: | ( ) - - |
Parent/Legal Guardian's email address: | |
Email confirmation: |
Session | 1st Choice | 2nd Choice | 3rd Choice | 4th Choice | 5th Choice | Not Interested in this Session |
---|---|---|---|---|---|---|
Old Dominion University June 18-21, 2023 | ||||||
William & Mary June 25-28, 2023 | ||||||
Virginia Tech July 9-12, 2023 | ||||||
Radford University July 23-26, 2023 | ||||||
University of Virginia July 30-August 2, 2023 |
School Name: | |
School Address: |
, VA |
School Principal Name: | |
School Principal email: | |
email confirmation: | |
School Counselor First Name: | |
School Counselor Last Name: | |
School Counselor email: | |
email confirmation: | |
When your application is submitted, your Counselor will receive an automated email request to verify the school-related information provided in your application. You will receive a confirmation email from notices@spacegrant.net when the verification form is received. We recommend you inform your School Counselor that they will receive an email from notices@spacegrant.net asking for this verification. It is the student's responsibility to follow-up with the School Counselor to ensure the verification form is received electronically no later than Wednesday, February 8, 2023. Without the School Counselor Verification form, your application is incomplete and ineligible for consideration. |
|
Home School: |
Recommender First Name: | |
Recommender Last Name: | |
Title: | |
School/Organization: | |
Recommender Phone: | |
Recommender email: | |
email Confirmation: | |
When your application is submitted, your Recommender will receive an automated email requesting they complete the electronic recommendation form provided. You will receive a confirmation email from notices@spacegrant.net when the form is received. We suggest you inform your Recommender that they will receive an email from notices@spacegrant.net asking for the form to be completed. It is the student's responsibility to follow-up with the Recommender to ensure the recommendation is received electronically no later than Wednesday, February 8, 2023. Without the Recommendation form, your application is incomplete and ineligible for consideration. |
Reflect on your favorite STEM-related experience that you have taken part in up until this point. It could be a class or classroom activity, a club, summer camp, or something else. Describe the experience, tell us what you most enjoyed about it, and share what questions it raised for you . STEM includes Science, Technology, Engineering and Math. (Maximum 250 words)
Please list all extracurricular activities or elective classes you have participated in. These may be STEM-related, but they do not have to be. Please list them below; you do not have to write in complete sentences for this prompt. (Maximum 250 words)
Describe why you wish to participate in the BLAST program and the ways you expect participating in BLAST will be different from other STEM experiences you have had thus far. (Maximum 250 words)
Describe the characteristics, strengths, and interests you possess that make you a good fit for classes, extracurricular activities, or careers in STEM. (Maximum 250 words)
Ethnicity: | |
Race: |
|
Disability: |
Specify if not listed: |
1st Generation: | You are a first-generation college student if your parent(s) did not complete a bachelor's degree. Would you be a first-generation college student? |
By applying to the project, you are acknowledging the following:
|
By allowing your student to apply to the BLAST program, you acknowledge:
|