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Pathways to Success in STEM

Registration Form

**Only students who have been accepted to the program via our application process may register! Please do not complete these forms if you have not been accepted to the program.

Forms will be available after May 8, 2018.

Welcome! This is one of two forms necessary to register for the Xplore New Student Program in August. Once you submit this form (as well as the online health & diet questionnaire), your registration will be complete, and you’ll receive a confirmation email (within a day or two).  NOTE:  Only questions with an asterisk (*) are required.

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Look for it on your Admissions letter. If you can't find it, please enter "Don't Know."
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Examples: she/her, he/him, they/them, etc.
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MM/DD/YYYY
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Street Name, Apt. Number, etc.
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2-letter abbreviation, please (ex: CA, OR, WA)
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(xxx-xxx-xxxx)
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If your parent/guardian has an email address, please write it here.
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If your parent/guardian is not fluent in English, what is their preferred language?
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If yes, please elaborate in your Health & Diet Questionnaire
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If yes, please elaborate in your Health & Diet Questionnaire
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In addition to activities designed to introduce you to life at LC and to academic work in math and science classes, we would love to schedule activities oriented towards any specific interests you have. Are you excited about going for a hike to explore the great outdoors around Portland? Are you eager to get into the science shop and build something cool? If you have any requests, we would like to hear them!
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Pathways to Success in STEM

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