Maryland Engineering Challenges 2008
WEB REGISTRATION
The goal of the Engineering Challenges™ is to introduce children and youth to the role and lifestyle of the engineer in today’s society, and assist schools and community education groups in developing technologically literate citizens of the future. We hope the Challenges will engage students in the joy of learning, discovery and invention, and that this will lead them to a life long interest in the “possibilities” they have as technological literate citizens.

There is a single $8.00 per teacher or sponsor registration fee to enroll teams/students in the 2008 challenge activities. This fee is used to fund mailing costs related to distributing kits, information sheets and other activities associated with organizing the challenge activities. The fee will be billed using the teacher/sponsor email address provided.

NOTE - submit a separate registration for each class team participating in a challenge event - BUT- only complete teacher/sponsor information after teacher/mentor name and school/group on the first registration submitted.


1. Please select the specific challenge you are applying to participate in:


2. Teacher/Sponsor First Name:


3. Teacher/Sponsor Middle Init.:


4. Teacher/Sponsor Last Name:


5. Teacher/Sponsor School or Organization Name:


6. Teacher/Sponsor Address - Street No. & Name:


7. Teacher/Sponsor Address - City:


8. Teacher/Sponsor Address - State:


9. Teacher/Sponsor Address - Zip Code:


10. Teacher/Sponsor Contact Phone Number:


11. Teacher/Sponsor Contact Fax Number:


12. Teacher/Sponsor Email Address:
[NOTE: THIS ADDRESS WILL BE THE PRIMARY CONTACT FOR EC NEWS AND ANNOUNCEMENTS]


13. Student Team Name:
[Be sure spelling is accurate - certificates will be based on this information]


14. Student Team Member 1 [Full Name for certificate]:


15. Student Team Member 2 [Full Name for certificate]:


16. Student Team Member 3 [Full Name for certificate]:


17. Student Team Member 4 [Full Name for certificate]:


18. Student Team Member 5 [Full Name for certificate]:


19. Student Team Member 6 [Full Name for certificate]:


20. As the EC team Teacher/Sponsor, are you interested in participating in a workshop activity related to the technology of the challenge activity?


21. How are you using this Engineering Challenge activity?


22. How many Engineering Challenge activities have you participated in?
1. First time participant
2. 1 to 3 years
3. 4 to 7 years
4. more than 8 years

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Prepared by: ms.100107

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