| Plasma Sciences Expo Registration |
Title:
|
First (preferred) Name:
|
Last Name:
|
School District:
Required Information |
School Name:
|
|
| School Address |
Street:
 |
P.O. Box:
 |
City:
 |
State:
|
Zip:
|
Subject(s) Taught:
|
Grade Level(s) Taught:
|
|
Phone Number:
|
Fax Number:
|
e-mail Address:
Required Information |
| Plasma Sciences Expo Reservations Registration |
| For middle and high school teachers and students. |
Times: 8:30 a.m. to 2:00 p.m. Dates: 30 October 2003 (Thursday) and 31 October 2003 (Friday) Place: The Albuquerque Convention Center, 401 2nd Street NW, Albuquerque, New Mexico, 87102 |
| I prefer to bring my students on: |
|
The number of students I plan to bring is: Required Information |
Indicate two preferences for arrival time at the Plasma Science Expo:
|
| Estimate travel time from your school to the Albuquerque Convention Center:
|
Some funding for buses may be available. If so, do you need funding:
yes no
|
|
Estimated bus expense. |
Bus Arrangements  You are responsible for scheduling the buses within your district. For further information contact:
Debbie Alcorn
Science and Engineering Education
Oak Ridge Institute for Science and Education
P.O. Box 117; MS 36
Oak Ridge, TN 37831-0117
e-mail: alcorn2@orau.gov
Telphone: 865-576-3428
Fax: 765-241-5219 |
Bus Funding  If you indicated on your application that bus funding was needed, we will fund up to $250 per bus (with exceptions as prearranged). The invoices should reflect work order #03267.801 and be directed to:
Linda Norman
General Atomics
1899 Pennsylvania Avenue, NW #300
Washington, DC 20006-3642
Telephone: 202-496-8212
NOTE: Invoices must be received within 45 days after the event to guarantee reimbursement. |

|
| After you submit your application, you can use the back button on the browser to return to this page. |