To request an engineering week school visit, complete the form below. Fields preceded by an asterisk are required.
* School Contact First name
* School Contact Last name
* School District
Alamance-Burlington Alexander Alleghany Anson Ashe Asheboro City Asheville City Avery Beaufort Bertie Bladen Brunswick Buncombe Burke Cabarrus Caldwell Camden Carteret Caswell Catawba Chapel Hill-Carrboro City Charlotte-Mecklenburg Chatham Cherokee Cherokee Central Clay Cleveland Clinton City Columbus Craven Cumberland Currituck Dare Davidson Davie Duplin Durham Edenton/Chowan Edgecombe Elizabeth City/Pasquotank Elkin City Fort Bragg/Camp Lejeune Franklin Gaston Gates Graham Granville Greene Guilford Halifax Harnett Haywood Henderson Hertford Hickory City Hoke Hyde Iredell-Statesville Jackson Johnston Jones Kannapolis City Lee Lenoir Lexington City Lincoln Macon Madison Martin McDowell Mitchell Montgomery Moore Mooresville City Mount Airy City Nash-Rocky Mount New Hanover Newton-Conover City Northampton Onslow Orange Other Pamlico Pender Perquimans Person Pitt Polk Randolph Richmond Roanoke Rapids City Robeson Rockingham Rowan-Salisbury Rutherford Sampson Scotland South Carolina Stanly Stokes Surry Swain Thomasville City Transylvania Tyrrell Union Vance Wake Warren Washington Watauga Wayne Weldon City Whiteville City Wilkes Wilson Winston-Salem/Forsyth Yadkin Yancey
* School
Street Address
City
ZIP Code
*Grade(s)
Subject
* Number of students to be visited
* Phone number (ex. 919-456-7890)
ext.
Fax (ex. 919-456-7890)
* e-Mail
Date requested
Requested activities
Comments
EWeek contact lead first name
EWeek contact lead last name
North Carolina EWeek | www.nc-eweek.org