Professional Development Registration

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This field is for validation purposes and should be left unchanged.

Advisor Name*

First Last

School*

School District*

Region*

Phone*

Email*

Enter Email Confirm Email

Mailing Address*

Please give a good mailing address you can receive kit via USPS

Street Address Address Line 2 City State ZIP Code

How many years have you been an NM MESA advisor?*

What is your level of Arduino Experience?*

How will you participate in Workshop 1:*

LIVE: October 29, 10-12 and 1-3

Asynchronous on my own time (No Stipend Received)

I Agree To:*

By registering, I agree that I will receive an Arduino maker kit. I agree to use kit for MESA participation and participate in a debrief session after completion of the given project. If kit will not be used, I will remit back to NM MESA.

Yes

New Mexico MESA Inc.

4700 Morris NE; TW Bldg. Suite 203
Albuquerque, New Mexico 87111

Mailing Address: PO Box 21477
Albuquerque, NM 87154

505-917-2049 | 877-848-0370 fax

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Professional Development Registration

New Mexico MESA Inc.