Exploring the Possibilities STEM workshops in Moriarty

Exploring the Possibilities

STEM workshops for Young Women. Sponsored by NMNWSE, MESD, IWF NM, and Agilent in conjunction with NM MESA.
Description

Our Moriarty STEM conference for girls to be held on September 27th 2024 at Moriarty High School is looking for volunteers to help with the conference as well as middle and high school students and teachers interested in attending.
Interested in attending or volunteering?

Are you registering a student participant, adult participant, volunteer, or a mixed party? You must make at least 1 selection before proceeding with the form.
Who will be attending the conference? Identify all the participants in your party.

Youth/student participantAdult/Parent/Teacher volunteer
Transportation

Student groups may be eligible for financial aid that can be used for organizing transportation. This is only for groups of students traveling to the conference from their school.
Are you organizing transportation for a group of students?

I confirm that I am organizing transportation to the conference for a group of students, and I would like to be contacted about financial aid for transportation.
Youth/student details

Please fill out 1 form per student
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
School Name*
e.g. "Mesa Middle School", "Home schooled"
Grade*
Student workshop preferences

Please select your top 3 choices in priority order. Placement not guaranteed.
First choice *
Second choice *
Third choice *
Will this student be having lunch and snacks, provided by the conference?*

YesNo
Dietary restrictions or other comments
Is this student being sponsored by a teacher?*

YesNo
Sponsoring teacher details
Teacher's name

First NameLast Name
Teacher's email
example@example.com
Teacher's phone number
Please enter a valid phone number.
Adult participants

Please fill out 1 form per participant
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Will this participant be having lunch and snacks, provided by the conference?*

YesNo
Dietary restrictions or other comments
Volunteers

Please fill out 1 form per volunteer
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Will this volunteer have lunch and snacks, provided by the conference?*

YesNo
Dietary restrictions or other comments
Trouble submitting this form?

Email Natalie at natalie.romero@mesd.us if you encounter any errors during the registration process.
Should be Empty:

Exploring the Possibilities

Description

Interested in attending or volunteering?

Transportation

Youth/student details

Student workshop preferences

Sponsoring teacher details

Adult participants

Volunteers

Trouble submitting this form?