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Aerospace Education Membership Information Request Form
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Aerospace Education Membership Information Request Form
**If you would like to receive additional information concerning CAP's Aerospace Education Program/Materials, please complete the form below. However, if you are interested in receiving Non-Aerospace Education Membership Information (please DO NOT fill out this form) click the CAP Member Prospect Module located on the left menu.
Suffix
--Select--
Mr.
Mrs.
Ms.
*First Name
*Last Name
MI
*School/Business/Home Address
*City
*State
--Select--
AE
AK
AL
AP
AP
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UAE
UT
VA
VI
VT
WA
WI
WV
WY
*Zip
Numbers Only
*Email
*Phone
Numbers Only
Please fill out the survey below to help us better serve you. Thank you.
Q1. What is your position?
Current Teacher
Current Administrator/Principal
Current Supervisor/Lead Teacher/Curriculm Developer
Retired Teacher/Administrator/Curriculum Developer
Representative of an organization with an interest in Promoting Aerospace Education
Other, Please Specify:
Q2. What age group do you instruct?
Early Childhood
Elementary
Middle School/Jr. High
High School
College/ Jr. College/ Tech
Not Applicable
Other, Please Specify:
Q3. What is your area of instruction?
Science
Math
Social Science
Language Arts
All of the above
Aerospace Education
JROTC
Not Applicable
Other, Please Specify:
Message to Aerospace Education (Please enter any specific questions you have.)