Lab Experience Day

Explore lab techniques and career possibilities firsthand.

There’s no cost to participate and the only requirement is a high school diploma or equivalent, but space is limited so register right away.

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We held this program on July 31 in Elizabethtown and are planning future programs across the region.

Compete the registration form below to express your preferences for dates and locations. It is designed to take less than 3 minutes.

Registration

BASIC PERSONAL INFORMATION

Name

First Name

Last Name

Age

Will you be at least 18 years old on the date of the program (7/31/25)?

Yes

How did you hear about us?

CONTACT INFORMATION

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent or Guardian Consent

If under 18 years old, please provide the name and phone number for your parent or guardian. (We will contact them to get an additional release form.)

SCHOOL & EMPLOYMENT

HS or GED Name

Provide the name of your high school or GED program.

HS or GED Year

What year did you receive (or do you expect to receive) your high school diploma or GED?

Employment

What best describes your current employment status?

INTEREST & CONCENTS

Interest

Why are you interested in attending Lab Experience Day? (2 to 3 sentences)

Program Preference

Which program are you interested in?

Future programs in the Lancaster area

Future programs in the York area

Future programs in Harrisburg area