NFB STEM2U Application

Thank you for your interest in the NFB STEM2U program. Please complete the following registration form below to sign up for an in-person NFB STEM2U program. If you are interested in participating remotely, please visit STEM2U Online. 

For any questions, contact us at [email protected] or 410-659-9314, extension 2418. 

Note: All fields with an asterisk (*) are required.

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Permission Release
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Participation Eligibility 

Since permission was not granted for your child to participate in National Federation of the Blind STEM2U activities, your child is not eligible for the program.

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Student Information
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Student gender *
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Student pronouns *
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What is the student’s reading medium? Select all that apply. This helps us provide materials in your preferred format. * - Optional
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Parent/Guardian Information
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What reading medium does the parent use? Please select all that apply. * - Optional
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How did you hear about the NFB STEM2U program?
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Emergency Contact Information
In case of an emergency, if we are unable to reach the listed parent or guardian, please provide an alternate contact below.
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Teacher of Blind Students (TBS) Information
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Additional Information
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Demographics

NFB STEM2U receives grant funding to support its programs, and some grantors request general information about the racial, ethnic, and socioeconomic backgrounds of our participants. To help us improve program delivery and fulfill reporting requirements, we invite you to answer the following optional questions. All responses will remain confidential. 

Ethnicity
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Upon submitting this form your responses will be saved, and you will receive an email copy of your responses. For additional questions or concerns please contact Ashleigh Moon at [email protected] or by phone at 410-659-9314, extension 2418.

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