Maryland Engineering Challenges 2009
WEB REGISTRATION
The mission of the Maryland Engineering Challenges is to introduce students in grades 1-12 to the role of engineers in today's society. We hope the Challenges will engage students in the joy of learning, discovery, and invention.

There is a single $8.00 registration fee per teacher or coach to enroll students in the 2009 Challenge activities. This fee is used to fun costs related to distributing kits and information associated with the Challenge activities.

ADULTS--teachers or coaches should complete a registration form for each team. You do not need to enter address, phone, or email information after your first complete registration


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


2. Teacher/Coach First Name:


3. Teacher/Coach Last Name:


4. Teacher/Coach School or Organization Name:


5. Teacher/Coach Address - Street No. & Name:


6. Teacher/Coach Address - City:


7. Teacher/Coach Address - State:


8. Teacher/Coach Address - Zip Code:


9. Teacher/Coach Contact Phone Number:


10. Teacher/Coach Email Address:
[NOTE: THIS ADDRESS WILL BE THE CONTACT FOR EC ANNOUNCEMENTS]


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


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


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


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


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


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


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


18. How are you using this Engineering Challenge activity?


19. 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

or

Prepared by: ms.100108

v 2.0

Test Pilot (4.6b45) is Copyright ©2005, The McGraw Hill Companies, All Rights Reserved.