School Registration

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

* 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