S2S Registration Portal
* denotes a required field
First Name*: Last Name*: Email*: Phone number*:
Street*: City*: State*: School*: Major (if applicable): Minor (if applicable): How did you hear about this program? TeacherSchool Career ResourcesS2S StaffS2S CommunicationsSocial MediaOther Have you previously participated in an S2S program? YesNo If yes, please indicate which program: Which of the following STEM fields are you most interested in? * (Select all that apply) Allied HealthcareBiotech & PharmaceuticalsChemistryEarth and Space ScienceEngineeringEnvironmental SciencesLife SciencesPhysicsOther Which internship program areas are you most interested in?* (Select all that apply) Program DevelopmentProgram ImplementationMarketing and Communications Briefly explain why you are interested in an S2S internship*: Briefly explain your areas of strength and any applicable experience*:
First Name*: Last Name*: Email*: Phone number*: Relationship*:
At least one Parent/Guardian info is required for individuals under 18. First Name: Last Name: Email: Phone number: Relationship:
First Name: Last Name: Email: Phone number: Relationship:
*By submitting this application, I approve of being contacted by email by S2S regarding program notifications and updates.