ENGIhXXRING CLUBS - 60 Epst 42nd Street - h'ew York City
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APPLICATION POR LABORA'I'CRY PRIVILEGE                                 I L 7
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             Age 16

Borough k&b
  Tel TA /m-$2 fC7V&

School Sf
  What ho&s are you in school?
  Will this be your schedule all year? Yes J No

What Science courses have you taken since the 8th grade?

  Name of your Club Sponsor &I. LL%
What affiliated club are you a member of?$fLLy*rLQR
                        u       UT
Did you serve at the World's Fair Students' Science Laboratoq PLY
   Vihat year?         1939            What aotivity J %&G&7&~
                                                                       @ML
                    1940            What activity

Khat branohes of Soienoe are you most interested in?                                           I

  !Q-iat Science                     and when. 3 (Include Science Pair prizes,etc.)

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!%at experience have you had in F;riting neTs articles fpr school papers? (If you pave
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o Have you ever appeared on a radio program? Yes    No -/When
                                                       - -

When oan you come for a personal Interview? Day)          3,--s ml.

How long does it take to get to the Laboratory from your home C/%&.from school )N-,,,.
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o * what scientific htudies or research  activ   9 are you nor engaged in?
What results have you had? ?+..t2    li

o If given a chance to experiment at our Laboratory *&at rsould you like to do?

* Khat special equipment,sapparatus, and supplies etc. nould you need?  (Give approxi-
mate cost of eaoh item If you know)

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         ence material would you like us to provide?   6 '~MIt-~&~?%2 i;
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Send a SUppOrting letter together with this application and additional sheets to:
                Mr. Henry Piatt

The American Institute Science Laboratory
310 Fifth A'yenue
New York City