EXCITE Interest Form, 2023-2024
If you have any questions/concerns please feel free to reach out to excite@uah.edu. All pull-down and comments are required (marked with an asterisk*).
Teacher Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
School
*
School Name
City, State
*
Participation
Interest in EXCITE for sometime during the 2023-2024 School Year. (This is just to help us estimate numbers)
*
I am interested in EXCITE and may participate
I will probably participate in EXCITE
I definitely want to participate in EXCITE, barring unforeseen circumstances
Should you decide to participate in EXCITE, please select the semester during which you'd like to participate.
*
Probably Fall
Definitely Fall
Probably Spring
Definitely Spring
Probably Fall and Spring (It will be a different set of students participating in Fall and Spring)
Definitely Fall and Spring (It will be a different set of students participating in Fall and Spring)
I am unsure
Other (describe below)
Comments
Class Numbers
Projected number of CLASSES participating:
*
Projected total number of STUDENTS participating:
*
Projected total number of TEAMS participating (approx. 7-10 students):
*
Equipment
Would you like to receive a free FlashForge Adventurer 3 3D printer if eligible (All new teachers are eligible; some returning may be eligible)?
*
Yes
No
Unsure
Would you like to receive free PLA 3D printer filament? (Everyone is eligible)
*
Yes
No
Unsure
Any Other Comments:
Submit
Should be Empty: