Register for the March 6th Quarterly Arkansas STEM Coalition Meeting

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The regularly scheduled Arkansas STEM Coalition Quarterly meeting will be held on Friday, March 6th, 2020 from 11am - 1:30pm.

It will be held at Electric Cooperatives of Arkansas, 1 81st St, Little Rock, AR 72209

Map: https://goo.gl/maps/GoMn6gSJ8s446d2w8

Agenda: http://bit.ly/38sOrcx
Please register with this form below.

Registration Cost: $25 if invoiced or payment is received before March 05, 2020, cost is $30 on March 06, 2020 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

1. First Name *

2. Last Name *

3. Job Title *

4. Job Affiliation *

Select the best descriptor of your employment area. If you are representing yourself and not an organization, please choose Community.

5. School / Business / Organization *

What organization will you represent at this meeting?

6. If part of K-12, please include school district

7. Will you need a Certificate of Attendance? *

Yes

8. Email *

9. Cell Phone *

Ex. 555-555-1234

10. Work Phone *

Ex. 555-555-1234

Please continue to Section 2 by clicking NEXT below & be sure to click SUBMIT.

Clear form

Never submit passwords through Google Forms.

This form was created inside of Arkansas STEM Coalition. Report Abuse

Forms