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BioBuilder
BioBuilder Summer Research Program Application
We are eager to hear more about you and your interest in science and engineering. Please answer the following questions honestly so we can get a sense of your background and ambitions. Your responses will not be reported with any personally identifying information, and we will happily reach back out to involve you in this program or other ones that BioBuilder can offer.
I am interested in attending
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Session 1: July 22nd - August 2nd, 2024 from 9AM - 4PM weekdays
Session 2: August 12th - August 23rd, 2024 from 9AM - 4PM weekdays
Either would be great for me!
I understand that the Summer Research Program is a day program and that BioBuilder does not provide housing.
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Yes
Your First Name
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Your Last Name
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Birth Date
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/
/
(mm/dd/yyyy)
Gender Identity
*
Female
Male
Not listed here
Prefer not to say
Race
*
American Indian or Alaska Native
Asian (origins in the Far East, Southeast Asia, or Indian subcontinent)
Asian (South Asian, Asian American, Pacific Islander)
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander (origins in Hawaii, Guam, Samoa, or other Pacific Islands)
White (origins in Europe, the Middle East, or North Africa)
Two or more races
Other
Prefer not to say
Address 1
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Address 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip
*
Phone
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Please provide the best email address for you now and over the summer
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Please re-enter your best email address
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Guardian First Name
*
Guardian Last Name
*
How did you hear about BioBuilder's Summer Research Program? (check all that apply)
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I got an email
I found you through a website search
I was told about you by a teacher
My college/academic counselor told me about you
A former participant told me to apply
I participated in/heard about it in a different BioBuilder program
InGenius Prep Program
Other
If you clicked "Other" (above) please describe here
If you heard about the Summer Research Program from someone, please give us their name and affiliation (school, company, etc.) so we can send them a thank you note.
Name of your school
*
City where your school is located
*
State where your school is located
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
International - No State
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Canal Zone
Guam
Puerto Rico
Virgin Islands
Over the summer of 2024, I will be a rising:
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10th grader
11th grader
12th grader
Other
Please check the boxes that describe the science classes you have taken so far
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Introductory Biology
Advanced Biology (e.g. AP or IB)
A biology class that included a lab
Chemistry
Physics
Algebra (Level 1 or 2)
Calculus
Computer Science
Other
If you clicked "Other" (above) please list your class(es) here
Please check the boxes that describe extracurricular activities you have been involved with
*
Yearbook/school paper
Debate/Model U.N.
Mathletes
Science Olympiad/Science Club
Sports
Dance
Theater
Vocal/Instrumental ensemble
Photography/Art
Political Club
Part-time job
Other
If you clicked "Other" (above) please list your activities here
What do you want to do after high school?
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What do you tell people is your future major or career?
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What is something that you are really bad at but you still do it and why?
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What is something you hope to learn from this program?
*