Technology Expresso STEAM Makers Profile David and Jacqueline wish to welcome you and thank you for connecting with Technology Expresso STEAM Makers. Your Expresso STEAM Makers profile allows us to customize your experience and send you important notifications. If you have any questions, please send us an email technologyexpresso@gmail.com or call us at 855-484-6837 Question Title * 1. Create a Unique ID - Use this PLAYER ID for All Expresso STEAM games Challenges to receive create towards you accumulative score! We Suggest INITIALS + 3 DIGITS. Question Title * 2. First Name Question Title * 3. Last Name Question Title * 4. Age Question Title * 5. Provide Your Contact Information School or Company If School Listed, Grade Completed (If you are 21 and under) Address Apt/Suite City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address (required) Question Title * 6. If Under 16, Do you have your parents permission? Yes No Question Title * 7. Email (if under 13, enter your parents email address) Question Title * 8. Phone Number AND then Text "EXPRESSOGAMES" TO 41411 to verify phone number Question Title * 9. What Area of STE(A)M are your most interested in? Science Technology Engineering Art Design & Architecture Math Medicine Other (please specify) Question Title * 10. Describe which Expresso programs you are interested in I'm interested in the EXPRESSO STEAM SUMMER GAMES Send me podcast announcements Let me know about Public Appearances of David and Jacqueline Send me STEAM Training, Events and Conference information Let me know about Networking Events for Adults Notify me of programs for the children Let me know about games, competitions and contests Send me the monthly Expresso Newsletter I do not wish to receive any notifications at this time I prefer to download the Expresso STEAM Makers App to get my updates Question Title * 11. Identify what STE(A)M related programs or organizations that you are affiliated with at this time, BPDA HSCC, SITES NSBE BioLogue A STEAM Village SHPE or LISTA Other (please specify, school, summer camp, church...) Question Title * 12. What is the Amount of the Financial Aid You Are Requesting 100.00 250.00 Other (please specify) Question Title * 13. Other Contact Information (Optional) Name * Website * Address City/Town * State/Province * ZIP/Postal Code * Country * Email Address * Phone Number * Question Title * 14. Do you agree to take pictures and record your STEAM events to share them with Technology Expresso and allow Technology Expresso to use them to help expose others to STEAM programs and opportunities. Yes No Please Type Your Full Name to acknowledge and confirm all of the information provided is accurate. Next