Statesboro STEAM Shadow Experience

**Shadow dates are not available on Fridays.

Student Last Name *

Student First Name *

Birthdate (MM/DD/YYYY) *

Age *

Gender *

Grade *

Father's Name *

Telephone *

Home Address *

City, State *

Postal Code *

Mother's Name *

Telephone *

Email *

Home Address *

City, State *

Postal Code *

**Shadow dates are not available on Fridays.

Please choose shadow date. * 🛈 +

With whom does the student live? *

Father	Mother
Both	Other Other

Form Completer *

Email *

Date of Form Submission * +

NOTICE OF NONDISCRIMINATORY POLICY Statesboro STEAM Academy admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally made available to the students of the school. Statesboro STEAM Academy does not discriminate on the basis of race, color, national or ethnic origin in administration of its educational policies, admissions policies, nor any other school-administered programs.

Statesboro STEAM Academy admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally made available to the students of the school. Statesboro STEAM Academy does not discriminate on the basis of race, color, national or ethnic origin in the administration of its educational policies, admissions policies, nor any other school-administered programs.