School Registration

To request an engineering week school visit, complete the form below. Fields preceded by an asterisk are required.

* First name

* Last name

* School District

* School

Street Address

City

ZIP Code

*Grade(s)

Subject

* Number of students to be visited

* Phone number (10 digits only)

ext.

Fax (10 digits only)

* e-Mail

Date requested

Requested activities

Comments

Engineer's first name

Engineer's last name

Supplies

Central Texas Engineers Week | www.centexeweek.org