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Schools or Organisation Expression of Interest Form
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* Indicates required question
School or Organisation Name
*
Your answer
School Address
*
Your answer
City
*
Your answer
Is it a?
*
Primary School
High School
College or University or Technical Education
Other:
How many students are there?
*
Your answer
How many Teachers / Staff are there?
*
Your answer
What are you expecting from YIA Team
*
Run STEM Wheels Session for students
STEM Shows to creat awareness
Train our Staff
Other:
Required
What resource will you or your organisation provide?
Venue (if it is face to face event) wit Electricity and Internet
Assistant or associate Staff
Funds for the equipments and consumables
Other:
Contact Person Full Name
*
Your answer
Role / Designation
*
Your answer
Contact Person Mobile
*
Your answer
Contact Person Email
*
Your answer
How did you know about STEM on Wheels Project
*
Email
Facebook / Whatsapp / Other Social Media
Friend or Family
Other:
Comments / Suggestions
Your answer
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