Cooper Union STEM Outreach Interest
Representatives from the Cooper Union STEM Outreach Program will contact you after you complete this form.

More information about our programs can be found here:

First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone (###) ###-#### *
Your answer
I am a: *
I am interested in: *
During which semester are you interested in participating?
If you are interested in STEM Days, how many students will be involved?
Your answer
If you are interested in STEM Days, what is the age range of the students?
What school (include address) are you from? *
Your answer
Your answer
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