SUSPENDED FORM

Name

Email

Phone

Site Name

Site Address

For which STEM Enrichment Series are you inquiring? (Select all that apply to your inquiry)...Not sure? visit the link (https://www.squarerootacademy.com/stemenrichmentseries) for details on our STEM Enrichment Series.

STEM Enrichment Series I‎ STEM Enrichment Series II‎ STEM Enrichment Series III‎

Proposed start date of STEM Education Series at site

Proposed duration of STEM Education Series to occur at site

Proposed schedule of STEM Education Series at site

Number of scholars at site

Grade range of scholars at site

What resources are readily available for use during STEM Education Series at site? (Computers, laptops, tablets, lab equipment, etc.)

Are you interested in developing a Makerspace at your site?

Yes‎ No‎ Not at this time‎

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