NASA FAMA 3 Registration Form : LBJ Institute for STEM Education and Research : Texas State University

Student Name: *

Student Email: *

Student Phone Number: *

Student Race: *

White

Black or African American

Asian

Native Hawaiian or Other Pacific Islander

2 or more races

Student Ethnicity: *

Hispanic or Latino

Not Hispanic or Latino

Student Gender: *

Female

Male

Non Binary

Prefer not to disclose

Other

Student Grade: *

9th

10th

11th

12th

Student School: *

Parent Name: *

Parent Email: *

Parent Phone Number *

How did you find out about FAMA 3 HS IDEAS

FAMA 3 Flyer

School teacher/administrator

Texas State Website

Friend or Family Member

Other