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SELF Institute Application
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(Required)
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Last
Student Email
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Street Address
Address Line 2
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Armed Forces Americas
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State
ZIP Code
Parent or Guardian's Name
(Required)
First
Last
Parent or Guardian's Email
(Required)
Primary Parent/Guardian Contact Number
(Required)
Secondary Parent/Guardian Contact Number
How did you learn about the SELF Institute?
University of Maine Website
Teacher/counselor
Friend/family member
Public Library
Science fair/event
Social media
Google
Other
Demographic Information
Any demographic information, if you choose to provide it, is for reporting purposes only and will not be used for consideration.
Gender
Male
Female
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Ethnicity
Hispanic or Latino
Not Hispanic or Latino
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Race
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Decline to Answer
Select all that apply.
School Information
Are you homeschooled?
(Required)
Yes
No
School Name
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
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Bulgaria
Burkina Faso
Burundi
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Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
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Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
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Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
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Equatorial Guinea
Eritrea
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Eswatini
Ethiopia
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Faroe Islands
Fiji
Finland
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French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
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Ghana
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Guadeloupe
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Guinea-Bissau
Guyana
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Indonesia
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Iraq
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Jordan
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Kenya
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Korea, Republic of
Kuwait
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Lao People's Democratic Republic
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Lesotho
Liberia
Libya
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Lithuania
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Macao
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Malaysia
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Mali
Malta
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Mauritius
Mayotte
Mexico
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Mongolia
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Montserrat
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Namibia
Nauru
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Nigeria
Niue
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Northern Mariana Islands
Norway
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Palau
Palestine, State of
Panama
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Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
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Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
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Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
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Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
What grade level will you be in Fall of 2026?
(Required)
Sophomore
Junior
Senior
Supporting Information
What are your career interests?
(Required)
Please write a short essay answering the question,"Why do you want to participate in SELF?" No more than 500 words. You may upload your essay file below if you prefer.
(Required)
If you are attaching your essay, please type “see attached” below.
If you are submitting your essay as a document, please upload the file below.
Max. file size: 3 MB.
Please attach a copy of your report card.
(Required)
Max. file size: 3 MB.
Parent/Guardian Release – I agree to the release of the above information for the student named in this application. (Typing name below acts as an electronic signature)
(Required)
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