Engineer-in-Residence (EIR) Program School Application
By completing this application, you are registering to become an EIR School. The EIR Program Office will use the information you provide to match your school with one of our volunteer engineers.

Volunteer engineers are trained to deliver world-class STEM outreach.

If we are successful in matching you with a volunteer, you will be invited to a short "Intro to the EIR program", as well as a Kick-off event in the fall. You will receive more information about this once you have been matched with an engineer.
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Principal's Name *
Principal's Email *
School Name *
School Address *
School Phone Number *
School Board *
Please indicate whether your school is... *
Is your school a... *
Approximately how many students are registered at your school? *
Approximately how many teachers are at your school? *
Primary contact teacher's name *
Primary contact teacher's email *
Primary contact phone number *
Which grade does the primary contact teach? *
Primary contact area(s) of specialty/interest
Please provide us with a back-up teacher contact name if possible
Back-up teacher email address
Back-up teacher phone number
Back-up teacher grade
Back-up teacher area of interest/specialty
EIR Program information - Why do you want your school to be involved in the EIR Program? *
EIR Program information - In which way(s), do you feel an EIR can best support your school? *
EIR Program information - If there is one thing that you hope to achieve by having this program in your school, what would it be? *
EIR Program information - Do you have any special requirement(s)/preference(s) for your EIR? *
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