One+One Student Membership Form ACCOUNT INFORMATION (For isisHawaii Use Only.  Except for Display Name) User Name: Display Name: Full Name: Address: City: State: Zip Code: Phone: Fax: E-mail: It's ok to send me email. (isisHawaii related notices, eNews, etc.)  View our privacy policy. Password:   (Passwords ARE case sensitive.) Confirm Password: How did you find us? 2005-6 One+One Program 2005-6 McKinley Engineering Academy 2005-6 Roosevelt Engineering/Tech Academy School Counselor/Instructor Friend isisHawaii One+One Activity 2005-6 SWE Internet 2004-5 One+One Program WIT/Mililani High School Pilot Newspaper Flyer/Handout Radio Parent Other NOTE: Fields in RED are REQUIRED fields. ONE+ONE INFORMATION What is One+One? The following information will help us create our teams.  This information will not be displayed in your public profile.  If you are applying to the One+One Program, please be sure to complete the required fields (in blue) before submission. Mahalo. Brief Background:  (will be sent to team members) What do you want to gain from this program?: Program Requirements: I agree to: At least ONE email exchange/week Internet Usage Agreement (students only) Agree to submit evaluation upon completion Read Privacy/Conduct Policies STUDENT INFORMATION What is a One+One Student? The following information will help us create our teams.  This information will not be displayed in your public profile.  If you are applying to the One+One Program, please be sure to complete the required fields (in blue) before submission. Mahalo. School Name/Grade Level: GPA (last completed year): Favorite School Courses: Extracurricular Activities/Hobbies: Concerns About School/Career: What inspired your career choice? If the closest match for you was a man, would you consider having him as a mentor? Yes No If your mentor does NOT live in Hawaii, would it matter to you? Yes No If it were possible, would you consider meeting your mentor?  (with supervision) Yes No Fields of Interest (Click all that apply):  For brief descriptions, click here. Biological Sciences Plant Sciences Ecology Astronomy Astrobiology Astrophysics Environmental Services Physics/Applied, Theoretical Chemistry Dentistry Dental Hygienists Diagnostic Related Technology Digital Media Geology Earth Science Emergency Medical Techs/Paramedics Health Diagnostic & Treatment Techs Architectural Engineering Textile Engineering Naval/Architecture and Marine Engineering Mineral and Mining Engineering Biochemical Engineering Biotechnical Engineering Biological/Biomedical Engineering Mechanical Engineering Nuclear Engineering Aero and Astro Engineering Architectural Engineering Aviation/Aerospace Technology Optical Engineering Transportation Engineering Environmental Engineering Civil/Structural Engineering Systems Engineering Chemical Engineering Electrical and Electronic Engineering Aviation/Aerospace Technology Computer Engineering Computer Architecture Computer Science Data Networks Information Technology Bioinformatics Software Engineering Artificial Intelligence Human-computer Interaction Data Security Computer Animation/Game Design Applied Math and Statistics Mathematics Nursing Nutrition Optometry Pharmacy Physicians & Surgeons Physician Assistants Psychiatry Therapists Veterinary Medicine MEMBER PROFILE INFORMATION (This information will be publicly viewable.) Favorite Pastime(s): Fitness Travel Reading Handcrafts Cooking Volunteer Work Tennis Golf Paddling Sports Gourmet Food and Wine Family Fundraising Gardening Other Picture File: (Note: File format must be a .gif or .jpg.  No larger than 240x120.) Share Space: Share you favorite quote or what you want to be when you "grow up" or anything else that you would like others to know about you.