Engineering Exploration Registration Form
Thank you for your interest in Engineering Exploration!

Engineering Exploration is an in-person outreach event at the University of Illinois at Urbana-Champaign for middle school students of all genders to introduce them to the world of STEM. We can't wait to see you all and have some fun!

Date: Saturday, March 4, 2023
Time: 9:00 am - 2 pm
Location: The University of Illinois at Urbana-Champaign
                  Yeh Student Center at Newmark Civil Engineering Building
                  Please enter from Matthews side entrance

Registration closes: Sunday, February 26th, 2022
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First Name (Student) *
Last Name (Student) *
Grade Level *
School, City, State (example format: Lyons Township, LaGrange, IL) *
First Name (Parent) *
Last Name (Parent)
Email (Parent) *
Cell Phone (Parent), Format: (XXX-XXX-XXXX) *
Due to space limitations, we would prefer to have just one parent to accompany each student. How many people will your party (student + parent(s)) consist of? *
Does anyone in your family work in a STEM field? *
How much do you currently know about engineering? *
Nothing
A lot
Which areas of engineering would you like to learn more about? *
Required
Adult T-Shirt Size (Student) *Due to budgeting concerns, you will be more likely to receive a shirt if you register earlier* *
There will be food served at this event. Do you have any allergies or dietary restrictions we should be aware of? *
Photo Waiver Consent Form
As a parent/guardian of the participant, by checking the box below, you state you have read and agree to the Photo Waiver form. If you have any concerns about the photo release form please contact eng.exploration.swe@gmail.com and we can put your student down as a no photo waiver student. *
Required
Additional Comments/Questions?
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