VIP 2025 Application

Name(Required)

First Last

Email(Required)

Please use a non-school email address to ensure that emails are successfully delivered.

Enter Email Confirm Email

Parent/Legal Guardian Name(Required)

First Last

Parent/Legal Guardian Email(Required)

Enter Email Confirm Email

Parent/Legal Guardian Phone Number

Current Grade (Spring 2025)(Required)

Current School(Required)

Include city & state.

List science courses you have taken(Required)

How do you think this internship program would benefit your future plans?(Required)

Statement of interest to participate in the program(Required)

Do you agree to have your camera on during sessions?(Required)

Yes

Will you be available for all dates? If not, what dates are you unavailable?(Required)

Yes

Dates unavailable and reason for unavailability

Are you under the age of 18?(Required)

Yes