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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,
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?