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GEMS Clubs Coach Application
Please fill out the application below if you are interested in being selected for training and support for starting a GEMS club at your school. Applications are due: March 10th, 2017!
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
LEA
*
Choose
Alexander County
Burke County
Caldwell County
Catawba County
Hickory Public
Newton Conover City
Lincoln County
Email
*
Your answer
School Name
*
Your answer
What grades are served at your school?
*
K
1
2
3
4
5
6
7
8
9
Required
School address
*
Your answer
Administrator
*
Your answer
Administrator email
*
Your answer
Does your administrator support a GEMS club at your school?
*
Yes
No
Short description of your background in STEM areas (science, technology, engineering, and math)
Your answer
Would your club meet after school or during the day?
*
After School
During the day
Other
Will you be able to hold at least 10 club meetings during the 2017-18 academic year?
*
Yes
No
Please share any other information with us that may help us in our selection process:
Your answer
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