Step 1 of 3: Basic Information

Please fill in the following information for your child:

First Name
Last Name
Select a Chapter
Birthday (mm/dd/yyyy)
Email Address
Home Phone (###-###-####)
Parent/Guardian 1
Parent/Guardian 1 Phone/Cell (###-###-####)
Parent/Guardian 1 Email Address
School Name
Nominating Teacher
Teacher's Email Address
Teacher's Telephone Number
T-Shirt Size
Are you eligible for reduced or free lunch at school?
Are you interested in being a part of the Junior Mentor Program?

If you have (1) participated in an InnoWorks camp as a student in the past, and (2) are currently in high school, then you may apply to participate in the InnoWorks Junior Mentor Program.  

Junior Mentors will be assigned as a helper to a mentor or staff member during the summer program. Tasks assigned to Junior Mentors will include assisting in leading an InnoWorks student team as directed by a mentor, helping staff with preparing and testing activities and missions, and assisting in lecture demonstrations.

If you qualify and are interested in becoming an InnoWorks Junior Mentor and helping your younger InnoWorkers, please indicate below to receive the application form. 

InnoWorks is a Winner of the 2007 BRICK Awards