Registration Form

Science, Technology & Engineering Day
Wednesday, April 15, 2009, 9:30 a.m. to 1:30 p.m.
www.gwvirginia.gwu.edu/forms/engineeringday.asp

* required

Teacher First Name *

Teacher Last Name *

Teacher Phone*

Teacher E-mail*

Teacher participating

Yes No

Student First Name*

Student Last Name*

Student Grade *

Student School *


AM Session: 10 a.m. - 11:15 a.m.
1st Choice *
2nd Choice*
	Please note: Supercomputers: From Sony PlayStation 3 to Earth Simulators, A-Mazing Robotics Lab, When the Earth Moves: Designing Resistance to Earthquakes and Pharmacogenomics are now closed for the AM Session.


PM Session: 12:15 p.m. - 1:30 p.m.
1st Choice *
2nd Choice*
	Please note: Supercomputers: From Sony PlayStation 3 to Earth Simulators, A-Mazing Robotics Lab, and Pharmacogenomics are now closed for the PM Session.