Texas STARBASE Stem Event Application

Texas STARBASE Stem Event Application
Texas STARBASE would love to be part of your STEM night, science fair or other STEM event that you are sponsering at your school or within your community! We are able to provide a fun and exciting STEM based activity that we can customize to your specific age, grade or ability range. Please fill out our appication below and we will reach out to confirm availability.
School Name*
School District*
School Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Name or Point of Contact*
POC Email*
example@example.com
POC Cell Phone Number*
Please enter a valid phone number.
Date of Your Event*

MonthDayYear
Date
Time of Your Event*
How many staff members from STARBASE would you like to request (STEM Nights are a minimum of 2 staff members, but we can provide more if you are having a large event)?*
Please provide other Information the STARBASE staff might need to know such as theme or activity type you are looking for.*
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