EIS Lab Assistant Program Application

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2019 WINTER SESSION

Recruiting high school students! Volunteer assignments start on SAT/January 12 with the last assignment on SAT/March 16. Please complete the application below and provide as much information as possible.

Lab Assistant Eligibility Requirements:
Currently in 11th or 12th Grade (2018/2019 School Year) OR Have participated in an EIS Program before and currently in 9th grade or higher (2018/2019 School Year)

Applications are due Friday, December 14, 2018 at 11:59pm.
All applicants will be notified of their status no later than December 21, 2018.

STUDENT INFORMATION




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Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.



American Indian or Alaska Native:  A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Black or African American: A person having origins in any of the black racial groups of Africa. 

Native Hawaiian or Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. 

White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.










PARENT/GUARDIAN INFORMATION







LAB ASSISTANT QUESTIONS










PARENT/GUARDIAN PERMISSION
By signing below, you indicate that all of the above information is true and accurate to the best of your knowledge. A parent/guardian signature and initials below indicates that the applicant has permission to participate, if selected, in the Lab Assistant Program.



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