Register for the November 15th Quarterly Arkansas STEM Coalition Meeting - (Be sure to scroll down for data entry)
The regularly scheduled Arkansas STEM Coalition November Quarterly meeting will be held on Friday, November 15, 2019 from 11am - 1:30pm.

It will be held at
University of Arkansas - Pulaski Technical College, Campus Center, Grand Hall A/B, 3000 W Scenic Dr , North Little Rock, AR 72118
Campus Map:

Agenda: To be announced
Please register with this form below.

Registration Cost: $25 if invoiced or payment is received before November 14, 2019, cost is $30 on November 15, 2019 at the door. Registration includes materials and lunch.

You will be able to pay using a credit card. (This does NOT require a PayPal account.) The link will be displayed after you submit this form. Cash and Checks will be accepted on site.
If it is more convenient mail check to Arkansas STEM Coalition P.O. Box 3142 Little Rock, 72203.

If you have questions, please contact Dr. Suzanne Mitchell, Executive Director of Arkansas STEM Coalition at 501-425-9995
First Name *
Your answer
Last Name *
Your answer
Job Title *
Your answer
Job Affiliation *
Select the best descriptor of your employment area. If you are representing yourself and not an organization, please choose Community.
School / Business / Organization *
What organization will you represent at this meeting?
Your answer
If part of K-12, please include school district
Your answer
Will you need a Certificate of Attendance? *
Email *
Your answer
Cell Phone *
Ex. 555-555-1234
Your answer
Work Phone *
Ex. 555-555-1234
Your answer
Please continue to Section 2 by clicking NEXT below & be sure to click SUBMIT.
Never submit passwords through Google Forms.
This form was created inside of Arkansas STEM Coalition. Report Abuse