Accepted Xplore Applicants Form

Lewis & Clark

Welcome and thank you for filling out this form to help us prepare for Xplore 2022!

NOTE: Only questions with an asterisk (*) are required. 

All fields marked with asterisk (*) are required.

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Examples: she/her, he/him, they/them, etc.
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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 speaks other languages, what is their preferred language?
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Do you require a special diet OTHER than vegetarian (vegan, gluten free, etc.)?
We will be sending out a separate diet and health 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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