S.T.E.A.M. RegistrationFriday, February 27, 2027Grand View University, Student Center2811 E 14th Street, Des Moines, IA 50316 8:00 am - 4:00 pm

S.T.E.A.M. Registration
Friday, February 27, 2027
Grand View University, Student Center
2811 E 14th Street, Des Moines, IA 50316 8:00 am - 4:00 pm

Student Information

First Name

MI

Last Name

Student Email Address (personal)

Student Phone Number (xxx-xxx-xxxx)

Gender

Graduation Year & Grade

School

If you picked "other" for school, please enter the name below.

Demographics

Ethnicity

Hispanic/LatinoNon-Hispanic/Non-LatinoEthnicity Unknown

Race

American Indian/Alaska NativeAsianBlackMore than One RaceNative Hawaiian/ Pacific IslanderOther RaceUnknownWhite

Gender

FemaleMaleNon-Binary

Receive Free/Reduced Lunch

YesNo

Refugee Status

RefugeeNot a RefugeeRefugee Status Unknown

Do you have any Dietary (food) Restrictions?

YesNo

If you selected "Yes" for dietary restrictions, please enter the food restriction below.

Parent/Guardian Information

First Name

Last Name

Parents Email

Parents Phone Number (xxx-xxx-xxxx)

Contact Information