STUDENT APPLICATION

Fill out the form below to get on the Qualified Candidate List (QCL) and take the first step toward being part of this historic project.

Student Full Name

Parent/Authorized Guardian Full Name

Primary Contact Email

Home Address

School Name

School Address

Is the student a U.S. citizen?

Yes

If "No," please specify which country

How did you hear about OMNI STEM (referral name/website or published source)?

Please tell us why you are an excellent fit for this Research Program opportunity. Additionally, share which technological advancements you believe hold the greatest potential for extraterrestrial applications. (Examples: advanced energy systems, bioengineering and medical innovations, photovoltaic or solar energy technologies.)

By proceeding with this application, you acknowledge and consent to the collection and submission of your information, which will be utilized solely for the purposes of processing your application and determining your eligibility for the Research Program opportunity. If your submittal is incomplete, your application will be rejected.

Please fill out the required* fields

Your submission is accepted!

Additional details, terms and conditions will be emailed to applicants upon submission. Program objectives and pricing are subject to annual updates based on specific program offerings.