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About
Teach STEM Program Appliccation
Name
*
First
Last
*
Last
Email
*
Mobile Phone
School Name
*
Principal Name
*
Principal Email
*
Is the Principal Supporting this program?
*
Yes
No
Not yet but she is interested in learning more
Is this a Title One School
*
Yes
No
Have you taught STEM or coding before?
*
Yes
No
Have you run after school programs before?
*
Yes
No
Are you committed to teaching coding after school
*
Yes
No
Explain why you are interested in this program.
*
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