STEM Workshops Registration
First Name, Last Name *
Your answer
Email *
Your answer
School/Organization *
Please tell us the name of the school where you teach, or the name of the organization through which you will use our educational programs.
Your answer
School/Organization Address *
Please include full address, including city, state, zipcode and country if outside USA. Please keep in mind that our hands-on workshops are limited to schools within 1.5 hour drive of our office. We will do our best to arrange for special circumstances.
Your answer
What grade(s) do you teach? *
Your answer
What subject(s) do you teach? *
Your answer
Which program(s) would you like to sign up for? *
Required
Potential Dates *
Please tell us 3 potential dates (or date ranges) that work for your scheduling needs.
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Time of Day *
Any specific start time and duration, or time restrictions need to be considered?
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Group size *
How many students will be attending the presentation, workshop, field trip?
Your answer
Do you have access to a projector/screen set up? *
Please answer for presentation and workshop programs.
Anything else we need to know? *
Is there anything else you'd like us to know that will help us cater to your needs?
Your answer
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