Geeky Jeunes Application Form

Section 1: Personal Information

First name

Last name

Birthday

Month

Day

Year

Gender

Female

Male

Phone (Include your country’s area code)

Email (Gmail required)

This email will be used to send important information and to link you to Google Classroom.

Country of Residence

Name of your Educational Institution

Type of Educational Institution

Public

Private

What university career would you like to study or are currently studying?

Do you know the meaning of the acronym STEAM?

Yes

No

Knowledge level of global challenges and the United Nations Sustainable Development Goals

No knowledge

Limited knowledge

I am knowledgeable

Write 100-200 words explaining why you want to join Geeky Minds and how it will impact your present and future. Introduce yourself. Your connection to STEAM: Experiences or projects. Impact: How it will help you achieve your goals. Show us your enthusiam!