Student Intent To Participate

Student or Group Name *

Enter the Full Name (First and Last) of the student

Title Of Submission *

What is your entry called? We will assign a specific table display area for you, and we want to have the title correct on the location and in the program!

Submission Category *

Rube Goldberg

Invention

Science Fiction (Note: Deadline for submission is 1 week prior to STEM Expo)

Environmental Innovation

Engineering (Reverse)

Engineering (Robotics)

Scientific Inquiry

Select the category where this entry will be placed. It is possible that entries can be selected in more than one category.

Compete or Exhibit Only *

Compete and Exhibit

Exhibit Only

Select whether you are interested in competing within your category and grade level, or whether you would just like to exhibit only.

School or Organization *

Enter the name of the school that the student attends. If this entry is made through an organization that is outside of a public or private school, then enter that organization's name

Grade *

Enter the grade level of the student

Address

Enter the street address of the student. If this is an entry through a school educator, the school's address is acceptable.

City

Enter the city where the student or school resides.

Zip

Enter the ZIP code for the student's residence or school

Contact Phone *

Enter a contact phone number for the student. This will help us contact you if there are any questions about your entry!

Email Address *

Enter an email address where we can send confirmation of the entry, and contact you if there are any questions.