FLAMES Introductory Computer Science Workshop Series -  Interest Form
This is the Spring 2023 application for students who are interest in completing a 4-Week workshop series for novice or beginning programmers. This series will introduce students to variables and logical control of programs using a block-based programming environment. Any questions can be emailed to igransb@ncsu.edu.

This workshop series is FREE OF CHARGE to all students.

Workshops will take place from 10:00 AM - 3 PM at Poe Hall on North Carolina State University's main campus
Lunch will be proved for students. More information on drop off location will be provided after completing this form.

Forms are due by January 20th; Notification will be send on January 22nd. However, forms accepted after this date can still be considered if there are any openings.
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Workshop Dates and Location
All workshops will be held at Poe Hall on North Carolina State University's main campus. Street Address: Poe Hall, 2310 Stinson Dr, Raleigh, NC 27695. It is expected that students who would like to attend this series attend all 4 workshops. Workshops will begin at 9 am. Topics and dates of each workshop are as follows:

(Jan 28) Variables and Operations

(Feb 11) If - else control flow

(Feb 25) While and for loop control flow

(March 11) Combining all concepts
Student First Name *
Student Last Name *
Student Email Address *
Current School *
for the 2022 - 2023 school year
Grade Level *
Date of Birth (month/day/year) *
(mm/dd/yyyy)
MM
/
DD
/
YYYY
Gender *
We ask for demographic information from applicants to ensure that our outreach serves a diverse group of students.
Race/Ethnicity *
We ask for demographic information from applicants to ensure that our outreach serves a diverse group of students.
Required
Has either parent graduated from a four-year college or university? *
We ask for demographic information from applicants to ensure that our outreach serves a diverse group of students.
Home Phone Number *
Please enter a phone number as (xxx) xxx-xxxx
Name of parent/guardian #1 *
E-mail address of parent/guardian #1 *
(please give an e-mail address that you check often)
Contact phone number of parent/guardian #1 *
Please enter a phone number as (xxx) xxx-xxxx
Name of parent/guardian #2
E-mail address of parent/guardian #2
(please give an e-mail address that you check often)
Contact phone number of parent/guardian #2
Please enter a phone number as (xxx) xxx-xxxx
Student's Career Interest *
Please provide at least one additional emergency contact (other than parent/guardians). *
Please provide Name, Phone number, Relation for each contact listed
Are there any medical conditions, behavioral conditions, dietary restrictions or allergies instructors should be aware of? *
We will do our best to accommodate students' needs. We will not use this information to select applicants.
As a part of the program, pictures and video recording may be taken and used for FLAMES related material including but not limited to: presentations at academic conferences, promotional materials, and take home souvenirs. Actual sessions will also be video recorded for reuse as educational materials. Please indicate below whether you give consent to having the student's picture and video taken and used for FLAMES related materials and events. *
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