Fall 2019 K-12 Application


Thank you for your interest in Science Club for Girls!


We are not able to accept applications for Junior Kindergarten or K1 students. 


Saturday clubs start on September 28. Weekday clubs begin the week of September 30. Clubs will meet for 8 sessions. Please be sure that your daughter can attend at least 6 of the club meetings. For a club calendar with dates, please email the Program Manager. Your Program Manager or Coordinator will contact you with more information after your daughter's club acceptance.

  • Applications received by Wednesday, September 13 will be considered first in club placement. Applications received after September 13th will be admitted on a space-available basis. 
  • Submission of this application DOES NOT guarantee admission.
  • All girls in grades Kindergarten through 12th grade are welcome to apply for Fall 2019 clubs.  If the number of applicants exceeds the number of spaces available, priority placement will be given to girls of color or demonstrating economic need, as per the mission of Science Club for Girls.

Greater Boston Area K-5 Clubs


Our Fall 2019 open enrollment Science Clubs are offered at the following locations for girls in Kindergarten through 5th grade.


Cambridge: 


King Open School, 850 Cambridge Street

Tuesdays, 3:00 - 4:15PM


The Amigos School, 15 Upton Street

Fridays, 3:00 - 4:15PM


O'Neill Library, 70 Rindge Avenure

Fridays, 3:00 - 4:15PM

** Grades 4 & 5 only


Margaret Fuller Neighborhood House, 71 Cherry Street

Saturdays, 10:15 - 11:30AM


Somerville: 


Elizabeth Peabody House, 275-277 Broadway

Tuesdays, 4:00 - 5:15PM

** Enrollment open only to those enrolled at Elizabeth Peabody House's afterschool program.


East Somerville Community School, 50 Cross Street

Wednesdays, 3:00 - 4:15PM


For questions, please contact Science Club for Girls at scfgprograms@scienceclubforgirls.org or 617-391-0361.


Greater Boston Area STEMinistas 6-8 Clubs


Our Fall 2019 open enrollment STEMinistas Clubs and Junior Mentors are offered at the following locations for girls in 6th through 12th grade.


Boston Junior Mentors, 8th-12th Grade: 


Mother Caroline Academy, 515 Blue Hill Avenue Dorchester

Fridays, 3:00 - 5:15PM


Cambridge STEMinistas Club, 6th-8th Grade:


Margaret Fuller Neighborhood House, 71 Cherry Street

Saturdays, 10:15 - 11:30AM


Cambridge Junior Mentors, 8th-12th Grade: 


King Open School, 850 Broadway Street

Tuesdays, 2:30 - 4:45PM


The Amigos School, 15 Upton Street

Fridays, 2:30 - 4:45PM


O'Neill Library, 70 Rindge Avenure

Fridays, 2:30 - 4:45PM


Margaret Fuller Neighborhood House, 71 Cherry Street

Saturdays, 9:45AM-12:00PM


Somerville Junior Mentors, 8th-12th Grade: 


Elizabeth Peabody House, 275-277 Broadway

Tuesdays, 3:30 - 5:45PM


East Somerville Community School, 50 Cross Street

Wednesdays, 2:30 - 4:45PM


For questions, please contact Science Club for Girls at scfgprograms@scienceclubforgirls.org or 617-391-0361.


Child's Information
Child Address
2019-2020 Academic Year Information

If child attends home school, please indicate "Home School" below.

Teacher and Room Number are only required if applying for an afterschool program.  If unknown at the time of this application, please leave blank and we will follow up with you.
Science Club Selection

Please select your first and second choices for Science Club sites this semester.

K-5th Grade Options

6th-12th Grade Options

Family Considerations
Post-Club Release and Pick-Up
Demographic Information

Science Club for Girls constantly evaluates the quality of its programming and impact on students.  Access to information requested on this page will allow us to better measure our work and be accountable to our funders.  Please help us by filling out the information below.  


All information is optional.  All individual information is confidential, as we only report information in aggregate, without identifying information.


Parent/Guardian Information
Any Parent/Guardian listed will have permission to pick up your child from Science Clubs.
Parent/Guardian 1 Information

The parent/guardian listed here will be the primary recipient of Science Club for Girls emails, including club enrollment, updates, and special events.

Parent/Guardian 1 Address
Parent/Guardian 2 Information

If no Parent/Guardian 2, then leave blank.

Parent/Guardian 2 Address
Emergency Contact

In case of an emergency and a parent/guardian cannot be reached, please indicate an Emergency Contact that we may reach during Science Club hours:

Additional Permissions

Please indicate any additional adults, other than those already listed, who have your permission to pick up your child from Science Clubs.  


For your child's safety, we will only allow this people listed on this form to pick up your daughter.  They will need to show a photo ID and sign her out each time. 


Granting Permissions
Permission to Participate

I give permission for my child to participate in Science Club for Girls (SCFG) during the Fall 2019 semester.  I understand that my child will be under the supervision of the SCFG staff and/or volunteer mentors who are trained, supervised and CORI background checked by SCFG. In consideration of my child being allowed to participate in these programs, I hereby agree on behalf of myself and my child, to release the SCFG Organization, their employees, agents and volunteers from any and all claims including negligence, which may be asserted by me or my child, or on behalf of my child, arising from or relating to my child’s participation in the Science Club for Girls.

 

I understand regular attendance and good behavior at clubs are essential parts of Science Club for Girls, and I have reminded my daughter of the importance of both. I also understand that programs are continually evaluated for quality and effectiveness, and that my child will be part of these activities, but that data gathered will be shared only in aggregate with no individual identifying information associated.

 

I understand that submission of this application does not guarantee acceptance into a Science Club for Girls program.


Permission to Participate

If you choose "No" to the preceding question, your child's application will be discarded and she will not be placed in a Science Club for Girls program.  If you wish to proceed with this application, please select "Yes" above.

Image Release

I hereby grant to Science Club for Girls, its successors, and assignees the rights to record and photograph the image and/or voice of my child on videotape and/or photograph, to edit such video or photo at its discretion, to incorporate the same materials as such as Science Club for Girls web page, video projects, and/or promotional or program materials in perpetuity.  I authorize the use of such picture, film and videotape or any portion thereof for the purposes of promoting or training for Science Club for Girls.  I understand that my child's full name will not be revealed. For a period of 90 days from the date of execution of this agreement, I may revoke the rights granted to Science Club for Girls herein. If revocation is not made within this time frame, all rights granted hereunder shall remain in full force and effect.


I hereby release you and anyone using said videotape, photos, or other material from any and 

all claims, damages, liabilities, costs, and expenses for which I now have or may hereafter have by reason of any use thereof.


I understand that the provisions of this release are legally binding.


By clicking “Submit” below, 
I certify that I have read, fully understand and accept all terms of the foregoing statement

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