SUBMIT | ziksa.org

Z → A Holmes Club

Quarterly Cohort Application

Theme: [Insert Quarter Theme]

Grades: 6–8

Cohort Size: Approximately 35 students

Holmes Club students explore one real-world field through foundational learning, conversations with professionals, and direct experiences with organizations working in that area.

Student First name

Student Last name

Grade

School/ School District

Statement of Interest. Why are you interested in this quarter’s theme? Tell us what makes you curious about this area, what you hope to learn/experience. (150–250 words). Please write this statement in your own words.

What is one question you would like to ask a professional working in this field?

Parent / Guardian Name

Parent / Guardian Email

Parent / Guardian Phone

If selected, can the student participate in the full quarterly cohort, including scheduled learning sessions and real-world experiences?

yes

Waiver