STEM Innovator® Product Purchase Form If purchasing products for multiple educators, use this registration form I am new to STEM Innovator®, or I would like a refresher. Please register me for the following workshops: Check all that apply Workshop 1, $39: Innovation and Entrepreneurship Workshop 2, $79: Skills and Mindsets, Design Thinking, Prototyping Workshop 3, $79: STEM Entrepreneurship Workshop 4, $79: STEM Activities and Portfolio Assessment Workshop 5, $79: Creating a STEM Innovation Model for the Classroom Note: Educators must complete workshops 1-5 to earn STEM Innovator®certification and be eligible to offer college credit to high school students. I am STEM Innovator® certified. I would like to purchase the following STEM Innovator® products: Check all that apply Portfolio & Curriculum Toolkit annual license for high school and post-secondary educators, $299 Portfolio & Curriculum Toolkit annual license for middle school and elementary school educators, $149 Curriculum Toolkit only, annual license, $149 Workshop 6, $79: Creating a STEM Innovation Culture: A Deep Dive into Implementation Strategies I am not STEM Innovator® Certified. I would like to register for the following products available to me:To get the full value from the Portfolio Tool, educators are encouraged to complete the STEM Innovator® online professional development workshops 1-5, and become STEM Innovator® certified. Only educators who have completed workshops 1-5 have access to the STEM Innovator® Curriculum Toolkit. Choose the correct option Portfolio annual license, for high school and post-secondary educators, $299 Portfolio annual license, for middle school and elementary school educators, $149 Graduate Credit OptionGraduate credit is $149 per credit. Information on how to enroll in and pay for graduate credit will be provided to you once you begin each workshop. Your Information First Name * Last Name * Preferred Phone Number * Preferred E-mail * Please make sure you add stem-innovator@uiowa.edu as a safe contact. Emails will be denied or placed in your junk folder if we are not listed as a contact. School/Organization Information School District * Your School(s) * School/Organization Address * School/Organization City * School State * - Select -ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYOther (International) For international addresses, please type your state/province here: School Zip * Country * - Select -AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong S.A.R., ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe What subjects do you teach? (Check all that apply.) * Agriculture Art Business/Marketing Career Exploration/Work Experience Computer Science Engineering English/Language Arts ESL Family and Consumer Science Independent Study Mathematics Performing Arts Physical Education/Health Science Social Studies Special Education STEM Vocational Technology Other If other, please list What grades do you teach? * Years Teaching Experience * How did you hear about us? * I would like to pay: * Via Credit Card (Pay Now) Via Invoice (Send a Bill) My license has already been paid for. (My school/organization paid, local sponsor paid, etc.) Payment InformationAn invoice will be emailed to the responsible party listed below. Responsible Party Name (you, school district business office, other) * Responsible Party Email Address (you, school district business office, other) * Responsible Party Phone Number (you, school district business office, other) * School/Organization/Sponsor Name/Promotional Code 2 + 1