CONTACT US

The ACADEMY of
APPLIED SCIENCE
24 Warren Street
Concord, NH 03301
Tel. (603) 228-4530
Fax (603) 228-4730

FOR MORE INFORMATION CONTACT:
Jill Malcom

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Chances to Win an iPad Mini!!

  1. TELL YOUR STORY!

    Tell us how completing your project has helped spark your love for doing creative science, technology, engineering or math (STEM)!

  2. BECOME AN ACADEMY AMBASSADOR!

    We need YOU to tell your story for the news, radio, TV, and groups!

TELL YOUR STORY!

Tell your story and be eligible to win an iPad Mini!

All entries received before May 31, 2015 at 5 pm will be entered in a drawing for an iPad Mini.

First Name *
Last Name *
Gender Female     Male *
Name of School *
I am a (Select one) Student     Parent     Teacher     Volunteer *
School Grade
Home Address *
City *
State *       Zip Code   *
Telephone Area Code *  No. *
Email Address *
Have you ever participated in any AAS Sponsored events? Yes No
Which Program or Programs?

Tell AAS Your Story!
We want to hear how doing a project inspired you/a student?
Tell us how this experience has helped ignite a passion for a STEM (Science, Technology, Engineering or Math) career?
Verbalize how working with a mentor changed your/the student's life?
Would you like to receive a quarterly newsletter from the Academy of Applied Science?
No, I am not interested.     Yes, mail it to me     Yes, email it to me     Yes, post it on Facebook *

To prevent abuse of this form, before submitting, please solve this: 7 + 9 =
 * Required Fields

BECOME AN ACADEMY AMBASSADOR!

Would you like to tell people about your project? Maybe do a news interview or radio or TV show about it? How about giving a brief presentation to a group of people or talking to individuals about how participating in the programs sponsored by the Academy of Applied science has further your love of science, technology, engineering or math?

Then we want you to be an Academy Ambassador and represent the Academy of Applied Science. (You will be contacted over email or phone about the specific opportunities and details.)

All entries received before May 31, 2015 at 5 pm will be entered in a drawing for an iPad Mini.

I want a chance to win an iPad Mini by signing up to be an Academy Ambassador!

First Name *
Last Name *
Gender Female     Male *
Name of School *
I am a (Select one) Student     Parent     Teacher     Volunteer *
School Grade
Home Address *
City *
State *       Zip Code   *
Telephone Area Code *  No. *
Email Address *
Have you ever participated in any AAS Sponsored events? Yes No
Which Program or Programs?
Have you ever done a
radio show?		 Yes       NO
Do you like talking to a group
of 5 people or less?		 Yes       NO
Do you like talking to a group
of 10 people or less?		 Yes       NO
Do you like talking to a group
of more than 50 people?		 Yes       NO
Have you ever talked on
a microphone?		 Yes       NO
Would you like to be on TV? Yes       NO
Would you like to receive a quarterly newsletter from the Academy of Applied Science?
No, I am not interested.     Yes, mail it to me     Yes, email it to me     Yes, post it on Facebook *

To prevent abuse of this form, before submitting, please solve this: 7 + 9 =
 * Required Fields