Teachers/Home School Educators Registration Information

Morgan State University STEM Expo
Teachers/Home School Educators Registration Information
This registration form is for teachers AND students. If you are bringing multiple classes or grade levels you (the teacher) can use one form to register all of the students you plan to “bring” to the STEM Expo this year.
1.Name
2.Personal Email
example@example.com
3.School Email
example@example.com
4.Home Address, City, State, Zip Code
Address line 1
Address line 2
5.Name of District
6.Name of School or Home School
7.School Address, City, State, Zip Code
School Address line 1
School Address line 2
8.Position

TeacherSchool AdministratorCounselorDistrict administrator or staffOther (please specify)
9.Grade level you teach (check all that apply)

K–5Grade 6-8Grade 9-12
10.Gender

FemaleMaleNon-binaryPrefer not to say
11.Race/ethnicity (choose all that apply)

Hispanic or Latino/a/xAsianBlack or African AmericanWhiteNative American or Alaska NativeNative Hawaiian or Other Pacific IslandPrefer not to say
Students Registration Information
12.Please estimate the total number of students attending with you
13. Please estimate the number of students you will be bringing from each grade category. (Select all that apply)

K -5
Grade 6:
Grade 7:
Grade 8:
Grade 9:
Grade 10:
Grade 11:
Grade 12
Not in school:
14.Please estimate how many students you will bring in each of the following gender categories. (Select all that apply)

Female:
Male:
Non-binary:
Prefer not to say:
15.Please estimate the number of students from each of the following race/ethnicity categories. (Select all that apply)

Hispanic or Latino/a/x:
Asian:
Black or African American:
White:
Native American or Alaska Native:
Native Hawaiian or other Pacific Islander:
Prefer not to say:
Prefer not to say
16. Please indicate the students home zip codes and the estimated number of students from each of those zip codes. For Example: 21251 = 20 students, 21239 = 10 students
Home zip codes line 1
Home zip codes line 2
17.Military status: Please estimate the number of military connected students attending with at least one parent or guardian who is currently enlisted and on active duty in the military/armed forces; a military veteran; in the national guard or reserves; and/or works for the military as a civilian.

Yes - Military Connected:
No - Not military connected
Not sure if military connected
Thank you for registering Registration Questions Contact: Ms. Katrina Robinson: katrina.robinson@morgan.edu Form or Technical Questions Contact: Dr. Cecelia Wright Brown: cecelia.wrightbrown@morgan.edu
Should be Empty:

Morgan State University STEM Expo

Students Registration Information