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Educator Interest Form - NASA Nebraska Space Grant
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First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Would you like to be contacted about a NASA Nebraska Space Ambassador providing: (mark all that apply)
Teacher training during an in-service or other time for your school or district
A coffee or appetizer hour in your area for local teachers to learn more about NASA education
None of the above
Other:
Would you like to be added to our NASA Space Grant Educator Listserv to find out more about NASA educator resources locally and nationally? Approximately 1 email per week. You may opt out at any time.
Yes
No
Clear selection
Would you like to be added to the SPACE Conference email list to find out more about the SPACE Conference at Kennedy Space Center in July? Emails will be sent approximately once every two months. You may opt out at any time.
Yes
No
Clear selection
Name of Your School or Organization
*
Your answer
City of Your School or Organization
*
Your answer
Grade Level or Levels (mark all that apply)
Pre-K
Elementary School
Middle School
High School
Informal Education
Other:
Which subjects do you teach? There is no requirement as our program is interdisciplinary.
Your answer
Cell Phone - ONLY to text you if you win a prize at our event drawings. If you do not enter your cell number, be sure to check your email frequently as prizes must be picked up within the hour.
Your answer
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