Registration for DREAMS STEM Day - July 20, 2021 Survey

Event Information:

This will be a Real-Time, Hands-on, Virtual Event.

Experience hands-on activities using simple supplies, done in real time. NASA professionals will lead middle school students in fun mission related projects to encourage interest in STEAM careers.

Free - No fee to attend. Advance registration required. For middle school students entering into grades 7th and 8th.

Sessions held on WebEx Platform, 10am to 12:30pm, Eastern Time. WebEx link will be emailed to attendees.

Please fill out a separate registration form for each student who will attend.

1.Email address:(Required.)

2.First Name:(Required.)

3.Last Name:(Required.)

5.Grade (Please select current grade): *

7th

8th

6.Name of School:(Required.)

7.Type of School:(Required.)

Public

Private

Homeschool

Other (please specify)

9.City:(Required.)

10.State:(Required.)

11.All students, new and returning, are invited to attend. Have you previously attended any NASA Middle School Program? (Required.)

Yes, I have a NASA Middle School Program before.

No, this will be my first time attending a NASA Middle School Program.

12.Name of Parent/Guardian:(Required.)

13.Parent/Guardian Work Email Address:(Required.)

14.Please select your ethnicity:

Hispanic, Latino, or Spanish Origin

Not Hispanic, Latino, or Spanish Origin

Choose not to answer

Important Information:
WebEx link and list of household supplies will be emailed to attendees closer to the event using the email address provided at registration.