Girls Rise Up 2024 Student Application

Welcome to the Girls Rise Up 2024 Application!

We are delighted to see you are curious about the world of STEM and dance. Complete this application to become a part of a fantastic community of bold girls LIKE YOU who want to discover new ways to understand the world and express themselves.

The application to Girls Rise Up is a two-part process:

PART 1 is the completion of this form
A link to PART 2 will be provided via email within one week if you meet all eligibility requirements

Both parts must be submitted to confirm your spot in the program.

Please tell us about the student!

Student Information

Student First Name	Student Last Name
Student Email Provide a unique personal email for each student applying if you can (non-school email).	Confirm Student Email Provide a unique personal email for each student applying if you can (non-school email).

Student Phone	Student BIrthday Student must be btw ages of 8-18 to participate in this program.
Street Address 1	City
Street Address 2	State
ZIP

School Information

School Name

Grade entering in Fall 2024

We gladly welcome girls of all backgrounds!

Please let us know what your/the student’s ethnicity is for reporting purposes.

American Indian (For example Navajo Nation, Blackfeet Tribe, Mayan, etc.) Asian (Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc.) Black (For example: African American, Jamaican, Haitian, Nigerian, Ethiopian, etc.) Hispanic, Latino, or Spanish origin (For example: Mexican, Puerto Rican, Cuban, Salvadoran, Dominican, etc.) Middle Eastern or North African (For example: Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian. etc.) Native Hawaiian or Other Pacific Islander (For example Native Hawaiian, Samoan, Chamorro, Tongon, etc.) White (For example: German, Irish, English, Italian, Polish, French, etc.) Prefer not to answer Select all that apply.

Student Location Preference

Which location are you interested in?

Los Angeles, CA: California State University - 1000 E Victoria Street

The dates of our program are:

Los Angeles - July 22nd - August 9th

Are you/the student available to attend all 3-weeks of GRU?

If no, explain:

To culminate Girls Rise Up, students will share their projects through a performance on stage at our evening Showcase on the last day of the program.

Are you/the student available to attend/participate in the Showcase?

If no, explain:

Parent/Guardian Details

Parent First Name	Parent Last Name
Parent Email	Confirm Parent Email

Parent Phone	Relationship to Student
If your primary language spoken at home is something other than English, list it below.

	1	2	3	4	5
Computer Science
Machine Building
Artificial Intelligence
Science/Biology
Engineering/Coding

	1	2	3	4	5
Hip Hop
Improv/Freestyle
Lyrical
Contemporary
Jazz (all Jazz styles)
Step