Nanooze Subscription Verification

 
Image as described above
DO NOT USE THIS FORM !!! IT IS OBSOLETE. To subscribe or change your subscription, go to www.nanooze.org and use the new contact form. thank you

thank you

thank you

thank you

thank you

thank you

thank you

Welcome and thank you for your interest in Nanooze.

We have been publishing and distributing Nanooze since 2007. Given normal turnover, I expect that some of our "subscribers" have moved on so it is time that we refresh our distribution list.

PLEASE complete the following to resubscribe to Nanooze. You must resubscribe if you wish to continue to receive Nanooze. At some time in the future we will be purging all old addresses from our list.

Similarly, if you do not wish to receive Nanooze please so indicate and we will stop sending.

Nanooze is published as a science enrichment resource related to nanotechnology (broadly defined), primarily aimed at the middle school level. Editorially, it is the work of Prof. Carl Batt at Cornell University, and is published and distributed by the National Nanotechnology Infrastructure Network (NNIN). Certain Nanooze content is available on the web in English, Spanish, and Portuguese. Printed copies( in English) are distributed in multiples of 30 per package, free of charge , to teachers in US Schools. It is our intention to publish 3 issues per year.

Funding for Nanooze is provided by the National Science Foundation.

1. What is your first name?
*
2. What is your last name?
3. Do you receive nanooze addressed personally to you.
4. Do you want to continue to receive Nanooze?
5. Your email address please
6. Your school name and school street address, city, state, zip. (note: please do not mix school name with personal address as it will cause delivery problems) (also, no PO boxes as we often ship by UPS)
7. If not a k-12 school, please indicate type of institution
8. Please tell us a bit about how you use nanooze
9. Grades you teach/serve
10. Your Position
11. How many copies of each future issue would you like to receive? Generally multiples of 30 please.

Note: to keep distribution costs down we greatly prefer to make one shipment per school, so please coordinate requests with your colleagues.
12. We have a back catalog of 10 issues. You can review (and download) them at http://www.nanooze.org/main/Nanooze/Download_Magazines.html

All but issue 1 are available in print. If you would like back issues, please indicate issue and # of copies below
13. number of students who use this set of nanooze. i.e you may share one set of 30 nanooze with 3 classes=90 students.
14. Number of other teachers using this set (this mailing)
15. Other comments about Nanooze
Thank you for your interest in Nanooze. We hope that it is a valuable resource.

If you ever have questions about distribution, please contact LCR2@cornell.edu
If you have questions or comments about editorial content, please address those to the editor, Prof. Carl Batt, CAB10@cornell.edu
16. Ignore this question..tracking only
Powered by SurveyMonkey
Check out our sample surveys and create your own now!