2025 Young Innovators Quest Application

| 2025 Application |

Diversity & Innovation Institute

Thank you for your interest in the Young Innovators Quest (YiQ) summer program! It is hosted by Diversity & Innovation Institute (DNOVA) from June 2-21, 2025 at IU Indianapolis and other locations in Indiana. If you anticipate transportation to IU Indianapolis will be a challenge during this program, city bus passes are available upon request.

Please complete this form to apply.

If you need to pause or take a break, you can click the "Save" button at the bottom of this form. Copy the link provided and paste it somewhere safe on your computer. When you are ready to continue, simply follow the link back here.

DNOVA staff will review applications following the regular deadline, with notifications sent soon thereafter.

Please check your email for communications after submitting the application

Application deadline: April 30, 2025

*Note: Only students who successfully complete all 3 weeks of the YiQ Program are eligible for the $600 academic scholarship. Part time YiQ participants will not be eligible for this scholarship.
Will this student complete the full 3-week program?*
(Only students who successfully complete the program are eligible for the $600 academic scholarship)
How many weeks will the student complete?*
Which week(s) will the student attend:*

June 2-6, 2025June 9-13, 2025June 16-20, 2025
Date(s) the student will attend:*
(MM/DD/YYYY) *Up to 2 days

Student Information:
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Grade*
Currently in
E-mail*
Participant's email address. Avoid using school email address.
Phone Number*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Transportation Arrangement*
Would you like to request an IndyGo bus pass?
T-Shirt Size*
Allergies*
If none, please type N/A
Special Dietary Needs*
If none, please type N/A
Under custody of*

Parent / Guardian Information:
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Occupation*
Parent/ Guardian Phone Number*
Parent/Guardian E-mail*
example@example.com
Is this individual an Emergency Contact?*
Would you like to add another Parent/Guardian?*
Other Parent/Guardian Name(s)*

First NameLast Name
Other Parent/Guardian Occupation
Other Parent/Guardian Phone Number*
Other Parent/Guardian E-mail*
example@example.com
Is this individual an Emergency Contact?*
Would you like to add an additional Emergency Contact?*
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Emergency Contact Email*
example@example.com

Student Demographic Information:

DNOVA values diversity. To that end, we seek to ensure diversity in our programs. Collecting demographic data from our participants helps us evaluate our success in this objective.
Gender*
My ethnic background is best described as (choose all that apply):*
I identify my race as (choose all that apply):*

AsianBlackNative American or Alaska NativePacific Islander or Native HawaiianWhiteSelf-describe

School Information:
School Name*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone Number*
School Counselor
Science/ Math/ Engineering Courses In Progress*
GPA*
GPA Point System*
Is GPA Weighted?*

Tuition and Financial Assistance:
We are excited to announce that all accepted full time YiQ students will be awarded a $600 academic scholarship after their successful completion of the program!

The program fee is $1,450 per student. The prorated fee for 1 week is $500 and $1000 for 2 weeks. This amount represents about 40% of the total cost per student, the other 60% of the cost is covered by grants and donations. From these grants and donations, we have created a fund to offset the cost of the program fee for families that are not able to pay the full amount. The level of financial assistance will depend on available funding and level of need. Each student may request up to the full amount in assistance to offset the cost of the program.

To qualify for financial assistance, a family will have to demonstrate financial hardship by providing evidence (for example: student's participation in free and reduced meals at school, federal income tax returns (gross income) or w2's; and any document showing recurring expenses like rent, student debt, medical bills, etc.).

Financial assistance will be provided for families with a gross income below 300% of 2025 Federal Poverty Levels (FPL) and/or students who are currently participating in Free and Reduced Meals (FRM) programs. Full tuition assistance is provided for up to 200% of FPL and FRM participants. Between 201% and 300%, financial assistance is prorated.

Program fee includes workshops, industry visits, use of laboratory equipment, materials, transportation, and some meals. The program fee is collected only if and when the student is accepted into the program. Program fee is non-refundable after the program starts.

All applicants must pay a registration fee of $50 once accepted. If financial assistance is applicable, it will not cover your registration fee.

*If you would like to apply for financial assistance, please upload your supporting documents on the next page.
Do you participate in a "Free or Reduced Meal" Program?*

YesNo
Payment Option*

I will pay the regular fee of $1,450I will pay out-of-state fee of $2,900I would like to request financial assistance
Payment Option (1 Week)
Payment Option (2 Weeks)
Answer the following questions if you are requesting financial assistance:
Number of Persons in Family / Household
Household Gross Income
From your Federal Tax Return or W2 forms
Household Net Income
Gross income minus recurring living expenses (including any student debt, child support, alimony, rent, mortgage, utilities)
Tuition Assistance Request
You may request up to $925 assistance to offset the regular program fee.

OPTIONAL: Supporting Documents

As a reminder, if you are applying for financial assistance, please upload supporting documents here. If you would like to provide these documents, but do not have them ready now, you can save your application and finish at a later time.
Upload Document

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Upload Document

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Signature Conditions

By signing below, I attest that all information included in this application is complete and correct.
Signature*

Clear
How did you hear about this program?*
Were you referred by one of the following?*

DNOVA AmbassadorDNOVA DonorNot Applicable
Please provide the full name and email of referee(s)*
Do you or your parents/guardians have any questions or additional comments for us?

Less than 200 words.0/200
Enter the message as it's shown*
Diversity & Innovation Institute, Inc.

9100 Purdue Rd., Suite 410 | Indianapolis, IN 46268

Ph: (317) 703-7836 | contact@dnova.org

www.dnova.org
Should be Empty:

	Not Interested	Indifferent	Interested
Creativity
Innovation
Intellectual Property
Scientific Research
Designing / Prototyping
Communications
Leadership
Technology
Teamwork
Problem Solving
Project Management
Coding / Programming
STEM Careers
College Life
Resume / Interviews
Medicine / Health
Psychology / Social Sciences

Student Information:

Parent / Guardian Information:

Emergency Contact Information

Student Demographic Information:

School Information:

Interests and Goals:

Tuition and Financial Assistance:

OPTIONAL: Supporting Documents

Signature Conditions