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PROGRAMS

 


North Carolina International Science Challenge:
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Please enter information below. * indicates a required field.

Student First Name:*  
Student Last Name:*  
City:*  
State:*  
Zip:*  -   
Email:*  
Telephone:*    -   
Date of Birth:*  
U.S. Citizen:* Yes
No
 
Name of Parent/Guardian:*  
Email of Parent/Guardian:  
Telephone of Parent/Guardian:*    -   
School Name:*  
School Telephone:*    -   
Grade Level:*  
U.S. Passport Number:  
List any travel restrictions or considerations:  
NCISC Project Title:*  
Period of time the project was worked on and completed:*  
Location/site for project work and completion:*  
List mentors, if applicable:  
Provide any relevant information to consider during review of the application:  
Attach File:*

Select a DOC (.doc) or PDF (.pdf) file to upload (file size must be less than 1 MB).

By submitting this application, I acknowledge that I am a United States citizen and agree to abide by the rules and guidelines of the NCISC. Further, I agree to participate in the presentations and competitions leading to the selection of the final projects. If my project is selected, I agree to participate in the 2013 Beijing Youth Science Creation Competition and associated events.

Student Signature:*  
Parent/Guardian Signature:*  
 

 


 

 
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