| Student Registration Form |
| Name |
|
| School |
|
| Level |
Middle School High School |
| Grade |
|
| Guidance Counselor |
|
| Home Address |
|
| City, State, Zip |
|
| Email |
|
Phone
123-555-1234 |
|
| Emergency Contact |
|
Contact Number
123-555-1234 |
|
| Engineering, Mathematics, and Computer Science courses you have taken or are currently taking |
|
| Are you currently enrolled in a Project Lead the Way (PLTW) course? Please Specify |
|
| Are you currently enrolled in the Project Lead the Way (PLTW) program? |
Yes No |
Please indicate preference for workshops you would like to attend
1 = Most Interested, etc. |
Engineering Workshop
Mathematics Workshop
Computer Science Workshop
|
Every effort will be made, on a first-come, first-served basis, to accommodate preferences.
Middle School Workshops – Friday Nov. 7, 2008 – Russell Sage College
Engineering Workshop: Flying Paper Airplanes
Mathematics Workshop: Fun with Fractals
Computer Science Workshop: Computer Tools for School
High School Workshops – Thursday Oct. 2, 2008 – Russell Sage College
Engineering Workshop: Build a Model of a Simple Machine
Mathematics Workshop: Dirt Bike Challenge - Linear Programming
Computer Science Workshop: Tell Your Story - Friend Media Creator
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