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Registration Form for March 17, 2012

Advance mail registration is necessary. Return deadline: March 9, 2012.
Lunch and materials fee: $15.00 per person (nonrefundable). Make checks payable to EYH.

Register early. Register by mail using this form . We will assign 3 sessions preference, if possible. While we'd like you to get your first choices, popular workshops fill up quickly. If all your choices are full, we will place you in other workshops. All of the workshops are terrific, and you may discover some great careers you hadn't considered. Early registration will help you get your top choices.

Print this form or the .pdf version and provide the requested information, one form per person please.

Mail the completed form with check to:

Expanding Your Horizons
SMT Division
Skyline College
3300 College Drive
San Bruno CA 94066

Mark your calendar. The conference is March 17, 2012. Written confirmation will not be sent.
Questions? email or (650)738-4376 or -4230.

Earn college credit for EYH.
 

Circle one:

Student

Parent

Teacher

Mentor
   

Grade

 

School

 

City of school

 

Your name

 

Mailing address

 

City & zip

 

Area code + Phone

 

Student Choices.
Look at the program and pick 10 workshops you would like.

Write the number of your first 10 choices. You will be assigned three.

         
 _____ _____ _____ _____ _____

1st

2nd

3rd

4th

5th

_____  _____  _____ _____ _____

6th

7th

8th

9th

10th


.

Students, please complete the following questionnaire. Thank you.

1. Have you taken or do you plan to take 3 or more years of math in high school?

Yes

No

Don't know

2. Have you taken or do you plan to take 3 or more years of science in high school?

Yes

No

Don't know

3. After high school how many years of education do you plan? [Circle one]

 

A

None
 

B

Community College (2 years)
 

C

4-years (Bachelor's degree)
 

D

Graduate degree (master's, Doctoral, or other professional degree) 
 

E

Don't know

4. I think science is: [Circle one]

Interesting

Somewhat interesting

Boring

5. I think math is: [Circle one]

Useful

Somewhat useful

Useless

6. Do you use a computer for: [Check all that apply]

 

A

Homework

 

B

Researching homework on the Internet

 

C

Surfing the Internet

 

D

Chat rooms

 

E

E-mail

7. What is your favorite subject in school?

 

A

Math
 

B

Science
 

C

Language Arts
 

D

Art
 

E

History
 

F

Other: