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USI SeaPerch Sponsorship Application
The University of Southern Indiana’s Pott College of Science, Engineering, and Education and the SwISTEM Resource Center are offering a SeaPerch Sponsorship Program for up to ten (10) SeaPerch teams. Schools and organizations in southwestern Indiana, southeastern Illinois, and western Kentucky that are facing financial hardship in purchasing materials to participate in the SeaPerch Program are encouraged to apply. This program will supply one SeaPerch kit per team ($179) and a USI Regional SeaPerch Challenge registration fee waiver ($50). The deadline to apply is January 23, 2017. Awardees will be notified on January 30, 2017. Please complete the following form to apply.
First Name
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Last Name
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School or Organization
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Club Name
(if applicable)
Your answer
Street Address
Your answer
City
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State
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Zip Code
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School/Organization Free/Reduced Lunch Percentage
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Primary Email Address
We will never give anyone else your e-mail address!
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Secondary Email Address
Used in the case of bounce-backs.
Your answer
Phone Number
Your answer
Grade Level of Team
Your answer
Have you sponsored a SeaPerch team in the past?
Can you commit to team participation in the USI Regional SeaPerch Challenge on April 22, 2017?
Please explain how you will implement this program.
(300 words or less)
Your answer
Please explain why you feel your students will benefit from this program.
(300 words or less)
Your answer
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