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Metro Warriors STEM Program Inquiry Form
Purpose of this form is to gather information about what are your program goals, objectives so we can better assist in a customized top notch STEM program for your students
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* Indicates required question
Primary contact POC
*
First and Last Name Person responsible for coordination
Your answer
Are you requesting training, class to be at our facility in Fort Washington Md. or at your location? if your location list your address.
*
Our Facility
Your Location
Not Sure
Viturual
Other:
Required
Do you have a current funding (0-30 days) for this request?
*
Yes
No
Unsure
Fee based
Other:
Required
Name of Organization
*
First and Last Name
Your answer
Cell phone
*
Your answer
what is your contact Email (s)
*
Your answer
If this is a Student training or class What is the age group of students you are looking to serve Check all that you applies
Elementary Level I Age 5-8
Elementary Level II Age 9-10
Middle 11-13
High School 14-17
What is the estimated projected number of students per category you are intending to reach.
*
Your answer
Check which Program(s) you are interested in
*
Check as many as you want check
www.mwso.org
for desciptions of each one.
Robotics/Coding Kindergarden
Robotics/Coding Elementary
Robotics/Coding Middle School
Robotics/Coding High School
STEM Ten80 Middle School (See Ten80 Education)
Required
Are you interested in Competition, Intro or both
Competition teams will require more time, commitment and some local travel and regional travel
Competition
Introduction
Advanced
Are you interested in becoming a NSBE Jr. Chapter
*
https://www.nsbe.org/Membership/NSBE-Jr-Membership
Yes
No
Later
Unsure
Other:
Time frame of possible funding.
*
When do you anticpate your funding will be available 0-15 days, 30 days, 60 or 90
0-30 Days
Immediate
0-60
0-90
No Funding
Fee Based
Required
What are your start dates? Day of week and Time Frames
*
Your answer
How long is your desired session If other please explain
*
1-2 Day Workshop (8 Hours)
6 - Week Class (1 day a week)
6 - Week Class (2 days a week 90 Minutes)
Year Long in school (1 day a week )
Afterschool
In School Currecticulm
STEM Professional Developement
Other explain
Other:
Required
Please provide any narrative on your desired program objective(s)
*
Your answer
How did you hear about our program and what were the comments?
*
Your answer
Any additional comments/questions.
Your answer
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