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Youth CAUSE Initiative 2023 Application Form
The Youth CAUSE - Climate Action and Urban Sustainability Emissaries - Initiative program is a free and exclusive two-week workshop program mentoring youth on how to be ambassadors of science and technology in their communities. We encourage all forms and styles of scientific exploration, discovery and creativity. Program includes a field trip to the Wrightsville Beach salt marsh, a visit to Live Oak Bank to collaborate with software engineers, and 3-day overnight expedition to Bald Head Island to work with Conservancy staff on sea turtles, fisheries and other coastal ecology projects.
Please complete the online "Youth CAUSE Initiative form" below by
MONDAY JULY 31, 2023
. NO PAPER COPIES WILL BE ACCEPTED. Note the Youth CAUSE Initiative program is an
invitation only program
with spaces limited to 12 students. This is open for all students to apply whether you are a new or returning student. Final selections for the program will be based on answers to the application questions below, and for existing students, points accrued throughout the summer.
For questions please contact Dr. Rob at
rob@ysa.world
.
Applicant Details
*
Indicates required field
Youth CAUSE Initiative Applicant Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Date of Birth
*
MM/DD/YYYY
I identify my gender as:
*
Male
Female
Genderqueer/Non-Binary
I'd prefer not to disclose
Participant Phone Number
*
School enrolled for 2023-24?
*
Grade level for the 2023-24 school year?
*
Elementary School - Grades 3-5
Middle School - Grades 6-8
High School - Grades 9-12
Other
Will you require transportation to attend the program. YSA can provide transportation but spaces are limited.
*
Yes
No
Parent/Legal Guardian Details
Please complete this section if participant is 18 years of age or younger.
Parent/Legal Guardian Name #1
*
First
Last
[object Object]
Parent/Legal Guardian Name #2 (Optional)
*
First
Last
[object Object]
Best Parent Phone Number
*
Parent Email #1
*
Parent Email #2
*
Application Timeline & Program Expectations
Final applications are due by
Monday July 31, 2023
but applications will be reviewed as received. Successful applicants will be notified in writing by
Wednesday August 2, 2023
. Late applications will not be reviewed.
Workshops run Tuesday through Friday the weeks of August 8-11 and 15-18. Note that
attendance is mandatory for all two weeks of the Youth CAUSE Initiative program
.
Application Questions
Please provide brief answers (no more than 5 sentences) to the following questions:
Why should you be selected in the Youth CAUSE Initiative as a youth ambassador?
*
What interests do you have in science or technology?
*
What has been your favorite experience in science to date? Why?
*
What career are you interested in pursuing at school or college? Why? (Note: it's ok to not select a STEM career or if you haven't decided list a couple of your favorite hobbies.....I'm most interested to hear about your plans and learn some interesting things about you!)
*
Acknowledgement
Digital signature of parent or guardian
*
Parent or legal guardian should state their full name which will serve as a digital signature to acknowledge their understanding of the terms and conditions of registering for YSA programs.
relationship to student
*
date
*
MM/DD/YYYY
I agree to receiving marketing and promotional materials
Submit
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