NASA RERC Workshop Registration Form
2018-2019 NASA RERC Workshop Series
Last Name *
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First Name *
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Phone *
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Email *
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Home Mailing Address (To receive stipends when available) *
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School/Organization *
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Title 1?
County/State *
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Are You a NASA OP STEM Grant Teacher? *
Grade(s) Taught? (Check all that apply) *
Sept. 22 Earth Science
Oct. 13 Lunar & Meteorite Sample Certification
Nov. 10 Mars Exploration
Jan. 12 Coding
Feb. 9 Space Stations
Mar. 16 Astrobiology
Apr. 6 Space Launch Systems
Photography Release: I give permission to be photographed. I understand the photographs are the property of the Museum of Aviation and may be used in any manner including but not limited to Museum promotions (Media, Flyers, Banners, etc). *
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