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
here
.
Title:
MR.
MRS.
MS.
First Name:
(Required Field)
Middle Initial:
Last Name:
(Required Field)
School/Business/Home Address
Street:
(Required Field)
City:
State:
AK
AL
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
UT
VA
VT
WA
WI
WV
WY
Zip:
(Required Field)
Phone:
(Area Code+PhoneNumber)
No Dashes!!
Email:
(Required Field)
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 orgranization 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
Other, Please Specify:
Not Applicable
Q3. What is your area of instruction?
Science
Math
Social Studies
Language Arts
All of the above
Aerospace Education
JROTC
Other, Please Specify:
Not Applicable
Message to Aerospace Education
(Please enter any specific questions you have.)