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YOU (mod STEM) Personalized Lesson Plan Submission Form
Once you fill out the questions below, you may expect to receive your STEM resource suggestions within 1-2 weeks. Note that you must complete a new form per STEM domain, as doing so makes it easier for your information to be distributed to the correct specialist.
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* Indicates required question
Name
*
Your answer
Email address (to receive your suggestions)
*
Your answer
Date
*
MM
/
DD
/
YYYY
What is your learning style?
*
Visual
Auditory
Kinesthetic
Logical/rigorous
Verbal
Social
Solitary
Required
What academic resources (textbooks, courses, school clubs, competitions, etc.) do you currently have at your disposal?
*
Your answer
Which of the following most effectively motivates you to learn?
Inspiration from hearing about scientific phenomena
Familial expectations
Competition
Easily accessible opportunities
The prospect of completing an impactful and/or fascinating project
How much free time do you have per week to devote in pursuing your chosen STEM domain?
<1 hour
1-4 hours
5-12 hours
12-20 hours
20-30 hours
30-40 hours
40-50 hours
50+ hours
Clear selection
Which of the following STEM domains are you interested in starting or continuing to pursue?
*
Mathematics
Physics
Computer Science
Biology
Chemistry
Robotics
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