STEM Professionals in Schools

Registration (teacher)

Use this form to register as a teacher.

Please provide as much information as possible about the type of partnership you'd like. This will help us to find you an appropriate match.

* = Mandatory field

Title          
* First name
* Surname
Gender M    F
Position
Department/Campus
* School
* School postal address
 
* Town/suburb
* State   * Postcode
* Phone (Wk.)         Mobile
Fax
* Email
* With which area(s) and year level(s) would you like a scientist to help?
  Year level(s) of interest
Subject area(s)
of interest
Lower
Primary
Middle
Primary
Upper
Primary
Junior
Secondary
Senior
Secondary
Earth & Space
Living Things
Energy & Force
Matter
Mathematics
Engineering & Technology
Working Scientifically
Please tell us about your preferred scientist or style of partnership
Would you be happy to work in a partnership with no face-to-face contact (for example via teleconference or email)? Yes    No
Please describe any STEM-related partnership projects you are currently involved with (including the STEM professional's name if possible).
Where did you hear about STEM Professionals in Schools?
My principal supports my involvement in this project Yes    No    Not applicable
Principal's first name
Principal's last name
Principal's email
  I have read and accepted the terms & conditions in the legal notice New Window.

Please note: we are currently upgrading our registration system so there may be a slight delay in processing registrations during this time. You will be informed once the new system is activated. Thanks again for supporting STEM Professionals in Schools