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First and Last Name
Wake Tech Student ID#
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Wake Tech Email Address
Phone Number
What is the best way to contact you?
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What program are you enrolled in?
In which science, math, physics, and/or engineering courses have you earned a C or better?
List the science, math, physics, and/or engineering courses in which you are currently enrolled?
How many credits are you currently enrolled?
What is your preferred days and times to work on a project?
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Could you spend 20 hours over the course of a semester on the project?
What is your career interest? (If you are unsure, that is fine, but please state that)
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Which project is your top choice to participate in? And List an alternate project that you would be to participate in. (Please see website for complete list, https://www.waketech.edu/about-wake-tech/divisions/mathematics-sciences-engineering/start)
Provide the name and email address of a reference.
Have you already contacted a potential mentor? 
Optional:  What skills or talents could you bring into a project?