Connecticut NASA Education Collaborative The Science Center NASA Educator Resource Center Inquiry Request/Registration Intent
Welcome to The Science Center Inquiry/Registration Intent area. Simply complete the form below to request more information or tentatively register for a particular workshop. Should you be completing this form to register for a particular workshop please see the Application Guidelines before advancing! Completion of this form does not secure workshop admittance, but provides us with advance notice of your intent. Workshop admittance is secured upon receipt of the physical application form which can be found under Teacher Workshops. Should you not receive an email response within the time frame you desire, please return to the CNEC Members homepage your interested in, and phone the contact person directly for an immediate response. We appreciate your interest!
My Name is:
My phone number is:
My email is:
My organization is:
My mailing address is:
Street:
City:
State:
Zip Code:
Please Provide a brief description of the information/NASA workshop your seeking and limit your inquiry to the 4 lines. For the fastest response, be sure to go to the Members area which provides direct links to the web sites for each member institution. This inquiry area is geared toward specific questions which may not be covered to the level you desire after visiting the member sites and to tentatively register for particular workshops. Press the tab button to move to the beginning of each new text box below. Pressing the return key will submit your form when completed.
Question/NASA Workshop Registration Intent:
