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University of Arkansas for Medical Sciences Logo University of Arkansas for Medical Sciences
Division for Diversity, Equity, and Inclusion
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  • DDEI Outreach Programs
    • Virtual Junior STEM Academy (K – 5th Grade)
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Junior STEM Academy Registration

2021 Virtual Junior STEM Academy Registration

  • Please Selected which JSA program you are applying for: * Required
  • 1. Student Information

  • Name of Scholar * Required
    Applicant name
  • Gender * Required
  • Race/Ethnicity * Required
    Please check all that apply.
    This is for statistical purposes only.
  • This is for statistical purposes only.
  • Scholar Address * Required
  • We look forward to continuing conversations with our scholars. Please share the email on which they can be reached. (student email preferred, all mass correspondence is also sent to parent/guardian)
  • 2. Student Education

  • Please select the grade level for 2019-2020 school year.
  • Please share applicant's current school.
  • School Address * Required
  • 3. Parent/Guardian Information

    Parents and guardians of the scholar, please enter your information under this section.
  • Parent/Guardian Name * Required
  • You are welcome to list any additional parent or guardian.
  • Parent Address * Required
  • Please share best contact number.
  • You are welcome to provide any additional number.
  • Important information regarding this program will be sent to you via email.
  • 4. Additional Scholar Information

  • Does/should your scholar receive free or reduced lunch at school?
    This information is necessary to assist us with scholarship determinations, data, etc. We appreciate your cooperation. For questions concerning eligibility. https://www.fns.usda.gov/nslp/national-school-lunch-program-nslp
  • Please briefly list the activities that the student has or is currently participating. Additionally, please briefly list any academic and/or social clubs of the scholar.
  • Select appropriate camp for your scholar. * Required
    Please select an appropriate camp for your scholar.
  • Returning Student
    Has your scholar, or sibling of applying scholar, previously attended Junior STEM Academy?
  • Who previously attended?
    Please share who previously attended JSA.
  • Please share the name and year scholar, or siblings attended JSA.
  • T- Shirt Size
    Please choose the size for your child
  • Please choose white coat size
    Please choose coat size for your child. The white lab coats are snug but should allow for range of motion. The coat buttons down the front.
  • By clicking "Submit", you agree that:

    • 1. Both the student and parent(s) have read the program description and agreed to its content and rules, and
    • 2. The information provided in this application is both complete and accurate.
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Mailing Address: 4301 West Markham Street, Little Rock, AR 72205
Phone: (501) 686-7000
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