Seed to STEM 1.0 Track Application

We are excited to be offerings Seed to STEM workshops this coming summer. Please complete the form to be considered for a Seed to STEM summer workshop. We are still accepting applications and open positions are now filled on a first come first serve basis.

Name*
First Last
Email*
Phone*
School*
Mailing Address*
Street Address (Please provide USPS Mailing Address) City State / Province / Region ZIP / Postal Code
Twitter Handle
Facebook Profile Name
What is your t-shirt size? (unisex)
Sex (For hotel purposes)
- Male
- Female
Number of students you teach per year*
Grade level and all subjects you teach*
Number of years you have been teaching*
Have you attended a Seed to STEM workshop before? If so, where and when?*
Seed to STEM will have a middle school 1.0 track and a high school 1.0 track. Based off of your science background and the subjects you teach which track would you like placed in? (We suggest Ag Teachers choose the middle school track)*
If the Middle School or High School track you have selected is full would you want to be considered for other track?*
How did you hear about Seed to STEM?*
Why are you interested in attending Seed to STEM?*
How do you plan to implement what you learn into the classroom?*
Do you have any food allergies?
Kansas Corn will provide a hotel room for those traveling into the area. Are you going to need a hotel room?
- Yes
- No
Please indicate dates you will need a hotel room based on the workshop location(s) you have selected. We will provide rooms the night before and/or the first night of the conference. (Select all that apply knowing that you do not know which location you will be selected to attend.)
- June 1
- June 2