K-12 Maker Workshops Application Payment Note Please note that credit card payments can be made with Visa, MasterCard, or American Express. If you or another teacher from your district has registered for the Master Making in the Classroom series, ask about our discounted rate before registering. (Discounts are not automatically applied.) Workshops - $325 per Session, more than one may be selected. Please notice that some sessions are offered on more than one date. Laser Cutter, Vinyl Cutter and 2-D Modeling | Wed Oct 12 Electronics for Makers | Thu Oct 13 Physical Computing with Arduino | Thu Oct 27 3-D Modeling and Printing | Thu Nov 3 Laser Cutter, Vinyl Cutter and 2-D Modeling | Tue Nov 8 Electronics for Makers | Wed Nov 9 Total Amount${{display_amount}} Amount $ Attendee Information First Name Last Name Name for Nametag Got a nickname you prefer? Let us know... Title/Role Email Phone Number District, School, or Company Name In Person/ Remote - Select -In PersonRemote If your circumstances change, and you need to switch your format, please contact us. Billing Address Name District, School, or Company Name Address 1 Address 2 City State/Province State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province - None -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory Postal Code Country - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegowinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, Metropolitan French GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard And Mc Donald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLao People's RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts And NevisSaint LuciaSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSpainSri LankaSt HelenaSt Pierre and MiquelonSudanSurinameSvalbard And Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom/Great BritainUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuelaViet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern SaharaYemenZaireZambiaZimbabweOther-Not Shown Shipping Address Same as billing address Name Address 1 Address 2 City State/Province Postal Code Country More information Please list all grades that you are targeting? What are three things you hope to learn? What is your role in your school (superintendent, principal, teacher, makerspace leader, etc.)? What is your experience, if any, with making (hand tools, 3-D printers, laser/vinyl cutters, electronics, programming)? Are there any chronic or current medical/health issues MIT should be aware of Please list any food restriction or allergies. Emergency Contact Name Emergency Contact Phone Number How did you hear about the workshop? - Select -Online search for PDPost on professional association listserveEdgerton Center K-12 Maker newsletterForwarded email from friend/colleague k12maker.mit.edu websiteedgerton.mit.edu websiteFacebookTwitterInstagramOther Payment Method - Select -Credit CardCheckPurchase Order Upon hitting submit, you will be re-directed to a page where your credit card information can be input. You will also receive a confirmation e-mail directing you to the same site. Purchase Order # First Name Last Name Email Amount$0
