"*" indicates required fields

Name*
Application:*
We are accepting applications for FALL
MM slash DD slash YYYY
I identify myself as gender:

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I am fully vaccinated and can provide documentation:*
As of April 2022, Vaccines are NOT currently required. However guidelines change and if COVID restrictions are re-instated, anyone who does not provide proof of vaccination will be dropped from this program.
The best number to use in case a text message is used in urgent situations.
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A good phone number to reach you
Parent or Legal Guardian*
What school do you attend?*

Grade*
Please describe how you identify yourself, such as: Hispanic or Latino/a; Arab or Arab American; Native American or Aleut; Caucasian (non-Hispanic); Black or African American; Asian or Asian American; Pacific Islander; Native Hawaiian. or other description
Are you interested in a Science Career?
Do you receive Special Education Services?
This field is for validation purposes and should be left unchanged.

When chosen to participate, all students parent/guardian need to fill out waivers the below waivers:

Pacific American Foundation Waiver 

US Fish and Wildlife Waiver Please take clear photos and send to derek@thepaf.org