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Inspired Minds Enrollment Form

is a STEAM (Science, Technology, Engineering, Arts, and Math) program designed for 5th - 9th graders.

The purpose is to broaden horizons through exposure to opportunities that lead to empowering experiences and successful careers. Once enrolled in the program, students remain connected through high school and beyond. Not only does this program provide mentorship, but also include activities such as financial literacy, music, robotics, fishing, filming, trips to college campuses, and so much more. 

NOTE TO PARENT/GUARDIAN: This form is to be filled out WITH YOUR STUDENT
Student Information 
Questionnaire
Have you ever been suspended from school? If so, check one
Have you ever been arrested for (check all that apply)
PARENT/GUARDIAN
Emergency Contact

Thanks for submitting!

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