BotsIQ MFGexplore Program Request for IU1 Districts
Please complete the form below to submit a BotsIQ MFGexplore program request for your school. Suzanne Gloekler, STEM Program Coordinator with BotsIQ, will be in contact with you.
Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
School Information
*
School Name
School Address
City
State / Province
Postal / Zip Code
Grade Level of MFGexplore Program Requested
*
Subject/Content Area of the Classroom Being Visited
*
Which MFGexplore career activity are you requesting?
*
Industrial Designer
CNC Programmer
Industrial Engineer
Manufacturing Engineer
Industrial Machinery Mechanic
Robotics Technician
Electrical and Electronic Assembler
Inspector
Sales Representative
Bio Engineer
Industrial Production Manager
First Preferred Date
*
-
Month
-
Day
Year
Date
Time Requested
*
Second Preferred Date
*
-
Month
-
Day
Year
Date
Time Requested
*
Back
Next
Third Preferred Date
*
-
Month
-
Day
Year
Date
Time Requested
*
Submit
Should be Empty: