STEM-IL Computer Science Interest Form

STEM-IL Computer Science Interest Form

STEM-IL Interest Form

Welcome to the STEM-IL Interest Form! We are excited that you are interested in STEM-IL and would like more information. 

Please take a few minutes and tell the STEM-IL team a little more about yourself and your household.

1. How did you hear about the program?

1. How did you hear about the program?

 

 

 

 

 

 

8. Which ethnicity/race most represents your background? (Check all that apply)

8. Which ethnicity/race most represents your background? (Check all that apply)

9. To which gender do you most identify? (Check all that apply)

9. To which gender do you most identify? (Check all that apply)

10. Student's Current Grade Level

10. Student's Current Grade Level

11. Who lives in the student's household?

11. Who lives in the student's household?