2019 VC STEMposium Participant Registration
STEMposium ID (This ID will be used on all data collection surveys)
8-digit Birthdate and last 2 digits of phone number (ex. for the birthdate Dec. 3, 1982 & phone # 340-9850, your 10 digit ID would be 1203198250)
Session Grade Level (this is the grade level you are signing up to attend)
MS: 6th Grade
MS: 7th Grade
MS: 8th Grade
HS: Earth Science
Years teaching science
Previous STEMposiums attended
2015, Year 1
2016, Year 2
2017, Year 3
2018, Year 4
none attended so far
Thank you for registering for the 2019 Ventura County STEMposium. You will be receiving more information through email as we get closer to the institute. If you have any questions, please contact Annie Ransom email@example.com
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of University Preparation Charter School at CSUCI.