School Registration

Educational Outreach Request Form (Schedule developed in September for school year)

All fields are required.

School District:
Work or Cell phone:
6-12 School's Contact:
School Address:

How did you learn about the Rensselaer Engineering Ambassador program?

Please describe level of participation in the school-wide event include classes, grade level, courses - science, technology, and math, etc. Please include whether there will be a culminating activity such as a general panel discussion for the younger audience to explore engineering education in general, with specific engineering disciplines, college preparation, college life, etc. How will students be encouraged to attend? Any additional information is greatly appreciated.

A representative from the Education Outreach Department will be contact within one week of the inquiry. Thank you for your interest in our program.

Thank you,
Rensselaer Polytechnic Institute
School of Engineering – Outreach Office

Having problems with this web form? Mail a hard copy instead