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Who We Are
Overview
Mission & History
Careers
Donors and Sponsors
Frequent Questions
Location
YWCA Board Members
YWCA Staff
Partners of YWCA Lincoln
Vision
Programs & Services
Introduction
Circle of Security
Girls Circle
Job Outfitters
Project Restore
SMART Girls Club
About
Virtual SMART Girls Club
Why is SMART Girls Club Important?
Resources for the Girls!
Volunteer
Partners in the Community
Sign up to receive more information
Take A Break
About
Take A Break Volunteer Form
What You Can Do
Overview
Become a Member
Donate
Volunteer Opportunities
Volunteer Opportunities
Smart Girls Club Volunteer
News & Publications
Newsroom
Publications & Resources
Activities and Events Calendar
Donate
Introduction
Circle of Security
Girls Circle
Job Outfitters
Project Restore
SMART Girls Club
About
Virtual SMART Girls Club
Why is SMART Girls Club Important?
Resources for the Girls!
Volunteer
Partners in the Community
Sign up to receive more information
Take A Break
About
Take A Break Volunteer Form
Contact Information
First Name (Required)
Last Name (Required)
Name of School (Required)
Current Grade (Required)
Home Address (Required)
City, State, Zip Code (Required)
Telephone Number (Required)
Participant's Cell
Participant's Email
Date of Birth (Required)
Parent/Guardian's Name(s) (Required)
Relationship to Applicant (Required)
Parent/Guardian Phone (Required)
Parent/Guardian Email (Required)
Emergency Contact Name and Number (Required)
To Be Filled Out By Participant
1. How do you think OTHERS would describe you? (Required)
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2. How would YOU describe yourself? (Required)
3. What other school year or summer activities are you committed to and when/for how long do they meet? (Required)
4. What do you hope to gain from the Eureka!® Program? (Required)
5. What do you believe you have to offer the Eureka!® Program? (Required)
6. Why do you want to learn more about science, technology, engineering, and/or math? How do you think this program might help? (Required)
7. Is there a career (or job) you are really excited about having when you are an adult? (Required)
9. Do you know how to swim? Do you enjoy swimming? (Required)
10. Do you play any sports? Do you enjoy playing sports? What are your favorites and why? (Required)
12. Is there anything that would prevent you from attending Eureka!® this July 9th–August 3rd from 9:00 a.m. to 4:00 p.m. Monday to Friday? (Required)
To Be Filled Out By Parent/Guardian(s)
1. What are your personal hopes and goals for your child’s education? (Required)
2. Why do you want your child to attend this program? (Required)
3. Can you commit your child to attending a full day, four week, intensive STEM and Leadership summer camp for the first two years of this program? Explain. (Required)
4. Is your daughter receiving any additional services at school or is she currently in special education services? If so, please explain so we can make sure to provide activities that will work for her if she is selected to participate. (Required)
5. Is there anything else you would like to share about your daughter? (Required)
6.. Are you and your child committed to actively participate in this program until your child graduates high school? Please explain “Yes” and “No” answers: (Required)
Recommendation
Please provide the name and telephone number of an adult (other than a family member) YWCA can call for a recommendation. This could be a teacher, a counselor, a coach, or a mentor. --OR--Attach and email leah@ywcalincoln.org a letter(s) of recommendation from the individual(s). Please be sure their contact information is included below. (Required)
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