NOTE!  Acceptance to the program and all other communications regarding Materials Camp will be sent to you via email only from asmmaterialscamp.teacher@asminternational.org or jeane.deatherage@asminternational.org  Please check your spam folder periodically in case your email system delivers camp messages to that folder.  Check both your personal email and work email.
Please specify which week you want to attend.  Note times are in Eastern time zone.

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* 3. Contact Information (MUST provide home mailing address.)

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* 4. Contact Information (2)

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* 5. Provide type of school

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* 6. School setting

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* 7. Do you work for a Title 1 school?

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* 8. Grade Level/s Currently Teaching

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* 9. Years Experience:

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* 10. Subjects Taught in Last 2 Years:

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* 11. If you have any formal training in materials science or engineering, please briefly describe:

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* 12. If you have any industrial experience, please briefly describe:

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* 13. What other teacher training programs have you attended in the past five years? Please list the name, location, and length of the program:

PLEASE LIST YOUR ACADEMIC DEGREE/S, INCLUDING MAJORS AND MINOR (if applicable)  FOR QUESTIONS 14-21.

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* 14. BS

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* 15. BA

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* 16. MS

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* 17. MEd

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* 18. MA

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* 19. PhD

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* 20. EdD

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* 21. Other (Describe)

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* 22. Please write a 100-word essay explaining why you would like to attend this camp and what your expectations are:

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* 23. How did you learn about this program? (NSTA journal, friend, etc. - please specify):

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* 24. Please provide gender. 

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* 25. Please specify your ethnicity: (Some of our financial supporters ask for this information. Thank you.)

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* 26. Please provide name of principal.

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