Pop-Up STEM Workshop Registration Form
Please use this from to indicate your interest in learning more about the Pop-Up STEM workshop program. If you have any questions, please contact the DAPCEP office at 313-831-3050.
Contact Full Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Your School, Company, or Organization *
Your answer
School Address *
Your answer
Student Grade Level
Number of Students *
Expected number of participating youth? Note: Each workshop can accommodate up to 20-25 students.
Your answer
# of Workshops Requested *
How many workshops will you need for the number of students you want to experience a workshop? Note: We are only able to accommodate 1 workshop a day. Our STEM Squad (4 people) travels to various schools twice a week. Each workshop can accommodate up to 20-25 students.
Your answer
Time of Day for Workshops *
Planned Workshop Dates *
Please enter 3 prospective dates you would like the workshops to occur. Note: Workshops are available only on Tuesday & Thursday!
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Name of Workshop (based on catalog of courses) *
Your answer
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