This education template includes 7 fields. Gauge student interest in extracurricular enrichment programs such as STEM clubs, arts, or languages. Free to customize and use on ZenBuild.
Student Name (text, required)
Grade (text, required)
Parent or Guardian Email (email, required)
Programs of Interest (checkboxes, required) — options: Robotics/STEM, Creative Writing, Art Studio, Chess Club, Coding, Foreign Language, Drama/Theater, Environmental Club
Availability (multiple choice, required) — options: Before school, After school, Weekends, Multiple options
Why are you interested in these programs? (long text, optional)
Has the student participated in enrichment programs before? (multiple choice, optional) — options: Yes, No