Generously supported by Motorola Foundation and Advanced Bionics
Registration deadline is May 31, 2013.
* Student's First Name
* Student's Last Name
Date of Birth
* Home Address
* Phone Number
* E-mail Address
* Size for your lab coat
* School Name
* Student's Current Grade
* Teacher's First Name
* Teacher's Last Name
* Teacher's Subject Area
* Teacher's Phone
* Teacher's E-mail
* Parent/Guardian's First Name
* Parent/Guardian's Last Name
* Home Phone
* Phone Type
Voice and TTY
Do you have a hearing loss?
* If yes, how do you prefer to communicate?
Speech and lipreading. I do not use sign language.
Speech and sign language.
American Sign Language only.
Your ethnicity: (If you wish to be identified with a particular ethnic group, please check the appropriate one.)
Native American,Alaskan Native
Native Hawaiian,Pacific Islander
How did you first find out about the TechGirlz program?
Received information from NTID
Found out about it from my school counselor or teacher
Found out about it from a friend or family member
Read about it online
Saw the advertisement or article in (fill in below)
Name of publication or other (if selected)
RIT Website Search
RIT Website A-Z Index
Rochester Institute of Technology | National Technical Institute for the Deaf
52 Lomb Memorial Drive | Rochester, NY 14623 | 585-475-6700 (voice/TTY)
Copyright © 2013 Rochester Institute of Technology. All rights reserved.