Sponsor: Advanced Self-Powered Systems of Integrated Sensors and Technologies
Program: ASSIST Young Scholars Program
Jane Doe has applied to to the ASSIST Young Scholars Program.
|Program Location:||University of Timbuctoo, Middle of Nowhere|
|Home Phone Number:||( ) -|
|Other Phone Number:||( ) -|
I am a parent or legal guardian of Jane Doe and I grant them permission to participate in the ASSIST Young Scholars Program if selected.
If selected Jane will be avaliable June 13th though July 15th for the ASSIST Young Scholars program?
If no, please explain when they will be unavaliable.
If selected Jane will have transportation to and from University of Timbuctoo, Middle of Nowhere daily for the duration of the program.