STEM Application

STEM Program Student Application

*Student Applicant's Name

*Student's Date of Birth

*Student's Gender

Female

Male

Non-binary

*Student's email address

*Home street address

*City

*State

*Zip/Postal Code

*Parent/Guardian 1 Name

*Parent/Guardian 1 Daytime Phone Number

*Parent/Guardian 1 email address

Parent/Guardian 2 Name

Parent/Guardian 1 Daytime Phone Number

Parent/Guardian 1 email address

*Student's Current School

*Student's Current Grade

*Science/Math Courses Taken + Grades Earned

Please list all extra-curricular and/or volunteer activities in which you currently participate

*STEM Applicant Personal Statement: Please write a brief statement, discussing how your unique interests in science, technology, mathematics, and engineering will benefit from participation in the STEM program. Describe any STEM-related experiences you have had. In addition, discuss how the STEM program will benefit from your participation. (Students may want to prepare this statement in a word processing program, then copy and paste into application.)

The STEM application committee requires recommendations from two current teachers. If the applicant is currently taking a math or science course, recommendations from teachers of those subjects are preferred.

*Please share the name of the first teacher who will provide your recommendation

*Please provide the email address of the first teacher who will provide your recommendation

*Please share the name of the second teacher who will provide your recommendation

*Please share the email address of the second teacher who will provide your recommendation

I affirm to the best of my knowledge that all of the information in this application is true.

I have read over and understand all of the STEM Program requirements.

I understand that a personal interview will be requested if my application is accepted.

I understand that the STEM Program has high academic standards and student success is expected.

*Student Signature (First & Last Name)

*Parent/Guardian Signature

Indian Creek School

1130 Anne Chambers Way
Crownsville, MD 21032
410-923-3660

Indian Creek school is a co-educational, college preparatory independent school, located in Crownsville, Maryland. Students in Pre-K3 through grade 12 receive a vibrant educational experience based on excellent academics steeped in strong student-teacher connections.