High Altitude Balloon Academy: Apply

Applications for the 2023 High-Altitude Balloon Academy have closed. Complete this form to be considered for the 2024 High-Altitude Balloon Academy. Review of applications will begin in late April 2024.

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Student Information

Student's name *

First

Last

Student's email *

Email

Confirm Email

Gender *

• Male
• Female
• Do not wish to report

Please describe the student's race or ethnicity: *

Student's age *161718

Which state do you reside in? *

• Oregon
• Washington

What grade will the student be entering next fall? *

• 11th grade
• 12th grade
• Other

What school will the student be entering next fall? *

What is the student's T-shirt size? *Adult XSAdult SAdult MAdult LAdult XLAdult XXLAdult XXXL

In 75 words or less, please tell us about your interest in science, technology, engineering, or math:

Is the student currently a part of a college preparatory program such as GEAR-UP, MESA, or Upward Bound? If yes, which one(s)?

Did either or both of the student's parents obtain a 4 year college degree? *

• One
• Both
• Neither
• Unknown
• Prefer not to say

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Guardian Information

Parent/Guardian's name *

First

Last

Please specify relationship to student: *

Mother, Grandfather, Nanny, etc.

Parent/Guardian's cell or day phone *

Parent/Guardian's email *

Email

Confirm Email

Parent/Guardian's mailing address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

We may have a few more questions regarding your application. Are you willing to chat on the phone with the program manager Deanna Marshall as a part of the application process?

• Yes
• No

If yes, what is the best phone number to reach you?

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