STEM Pros in Schools

Name

Email

Primary phone number

Alternate phone number

Your Role

Teacher Parent Student Event Organizer Ball Employee Other (please describe)

Is the school point-of-contact the same as above

Yes No

Point of Contact's Name

POC's email

POC's phone number

POC's role

School name

Street address

City

ZIP code

What do you need support for

Classroom presentation Career day Student and mentor project Other STEM activity/event (describe below)

In your details, include what you’d like the Ball volunteer to do and focus on. (A specific NASA mission? Earth or space science and technology? STEM education and career options?)

School activity/event name (if applicable)

Event Date (1st choice)

Event Time

Event Date (2nd choice)

Event time

Student Grades

Expected number of students

Expected number of teachers

Do you provide any of the following

Mac computer/laptop PC computer/laptop Projector & screen WiFi/Internet access

Please describe any additional equipment factors

You may attach a PDF document (such as an agenda) to this request. This form does not confirm when documents have been attached

Please select a file

You may attach a PDF document (such as an agenda) to this request. This form does not confirm when documents have been attached.

reCAPTCHA