🧪 Eureka! Program Application

Eureka! is an exclusive STEAM (science, technology, engineering, art, math) exploration program designed to provide middle and high school girls with the tools and experiences they need to succeed academically, personally, and professionally. Through hands-on learning, leadership development, and college readiness, Eureka! equips your child with the skills to excel in STEAM and beyond!

By joining Eureka!, your daughter will gain valuable opportunities that help her stand out, from developing critical thinking and problem-solving skills to gaining real-world experience through internships and mentorship. Once she’s a part of the program, she’ll have continuous support through high school, building the foundation for a bright future in STEAM and leadership.

Year-Round Opportunities:

Eureka! consists of monthly workshops from September to May at Girls Inc. Indy, providing leadership development, college & career exploration, and STEAM experiences.

Eureka! Summer Opportunities:
Camp: Rising 8th, 9th, and 10th graders participate in a 4-week summer camp on a college campus to explore STEM, leadership, life skills, and physical activity.
Internship: Rising 11th and 12th graders are placed at a 4-week paid internship to develop professional skills and gain experience.

Cost:

Sliding scale: $0-$250 based on financial need and limited scholarship funds. Final cost will be determined upon acceptance.

📩 Questions? Contact Rona Taylor at 317-762-0804 or [email protected].

Apply today to give your daughter the tools to thrive in STEAM and beyond!

Parent/Guardian Information

Parent/Guardian First Name: *

Parent/Guardian Last Name: *

Parent/Guardian Email *

Parent/Guardian Cell Phone Number *

I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Girls Inc. of Greater Indianapolis. Message frequency varies. Message & data rates may apply. Text HELP to 317.283.0086 for assistance. You can reply STOP to unsubscribe at any time. I agree to the Terms & Conditions and Data Privacy Policy provided by Girls Inc.

Participant Information

Participant's First Name *

Participant's Last Name *

Participant's Date of Birth *

Address

Street Address *

City

State

Zip code *

School Name: *

Grade level in 2025-2026? *

Emergency Contact/Authorized For Pick Up

Primary Emergency Contact (not the parent/guardian completing this form):

First & Last Name: *

Mobile Phone Number: *

Relationship to Participant *

Secondary Emergency Contact:

First & Last Name: *

Mobile Phone Number: *

Relationship to Participant: *

Signed Permissions

Behavior Agreement

I agree that my participant in Girls Inc. will treat others the way they want to be treated, include everyone, BE KIND, think “Safety First,” come with a good attitude, be ready to join in activities, have self-control, and help keep the location clean, organized and have FUN!

Suspension Policy

At Girls Inc., we do not tolerate any form of bullying. This will result in immediate suspension. Other minor offenses of a continued nature could result in suspension from Girls Inc.

Girls Inc. Indy also reserves the right to temporarily suspend a participant to ensure the safety of all participants regardless of any one individual's behavior.

The following offenses will result in immediate suspension: Bullying, Intentionally physically hurting girls, staff, or volunteers. Verbally threatening to hurt girls, staff, or volunteers, stealing from other girls, staff, volunteers, or Girls Inc. property, disrespectful attitude towards other girls, staff, or volunteers, swearing or other inappropriate language, or possession of weapons or drugs.

Initial - Behavioral Agreements *

Medical Release

In case of a medical or surgical emergency, I, the parent/guardian hereby give my permission to the medical provider(s) and/or facility selected by the Girls Inc. staff to authorize medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures deemed a medical or lifesaving emergency for my child/dependent, the participant.

Initial - Medical Release *

Media Release (Optional)

I, the parent/guardian, hereby consent to and authorize the use or reproduction by Girls Incorporated of Greater Indianapolis and/or agents authorized by them, of any and all photographs, video reproductions, or other records taken during the event, including without limitation photos and sound of the participant alone or with others, for any reasonable purpose, without compensation to me. I understand the participant’s name (in the case of youth under 18 years of age, only first name) may be used. *

Yes, I consent

No, I do not consent

Transportation Release (Optional)

I am aware and grant permission for my child to use public transportation options to arrive and depart from a Girls Inc. of Greater Indianapolis program, including but not limited to IndyGo buses, Uber, Lyft, or other rideshare services. I understand that Girls Inc. of Greater Indianapolis is not liable for incidents that may occur while my child is traveling to/from the program location, using public transportation, or waiting at transit stops. *

Yes, I consent

No, I do not consent

Printed Name of Parent/Legal Guardian *

Signature of Parent/Legal Guardian *

Clear

Date Signed *