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Technovation for Good Application Form - Student Application
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Technovation for Good Application Form - Student Application
First Name
*
Last Name
*
Preferred Name
*
Middle Name
*
Student Email
*
Please provide a non-student email address as we are unable to email student emails.
Identify As
*
Female
Male
Non-Identifying
Ethnicity/race
*
Street Address
*
City
*
State
*
County of Residence
*
Zip Code
*
Home Phone
*
Student's Cell Phone
*
Do not list parent cell number.
Parent 1 Name
*
Parent 1 Contact Number
*
Parent 1 email address
*
Parent 2 Name
*
Parent 2 Contact Number
*
Parent 2 email address
*
How did you learn about Technovation For Good?
*
Guidance Counselor
Teacher
Direct mail
Appalachian student or alumnus/alumna
Appalachian faculty or staff
Other...
How did you learn about Technovation For Good? Other...
High School
*
Expected Graduation Year
*
Do you have any access requirements you would like us to be aware of?
*
List school clubs and activities in which you have participated. Please include length of involvement, positions held:
List any activities or organizations in which you participate outside of school:
Describe any voluntary or paid positions you hold or have held. Please include details on your time spent each week:
List any hobbies or special interests you have:
List any college majors you are considering:
Describe the most challenging situation you have ever faced:
Tell us about your greatest accomplishment:
What do you hope to gain and learn the most from participating in Technovation For Good?
Describe how you have become interested in Technology or Entrepreneurship:
What or who motivated you to submit your application for the program?
Reference 1 Name
*
Reference 1 Phone
*
Reference 1 Email
*
Reference 2 Name
*
Reference 2 Phone
*
Reference 2 Email
*
Leave this field blank
Submit