Chapter Registration "*" indicates required fields New Chapter Registration Starting a chapter is easy! Fill out the form below with some basic information about your school and your Chapter Director’s and Advisor’s information. Join for an Annual Fee of $395! Chapters can be started anytime throughout the year and renew annually September 1.This field is hidden when viewing the formDiscount CodeReferral CodeChapter Membership*I confirm I am registering a Chapter and I do not have a current NSTEM Chapter Yes, I am registering a new NSTEM Chapter Discount $0.00 Total Username*When creating a Username, make it specific to the chapter or school as THIS CAN NOT BE CHANGED. Since it will be shared with Chapter leadership, use a generic username (e.g., school name) as emails are not allowed for usernames!Advisor School Email* Enter Email Confirm Email Password*Please do not use personal information for passwords as they are shared with Chapter leadership. The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols (such as ! . ? " $ % ^ &). Enter Password Confirm Password School Name*School District Name*School Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School Level Pre-K – 2 Elementary 3-5 Middle 6-8 High School 9-12 College Classification*PublicPrivate/IndependentChapter Director InformationThe Chapter Director is the head of school or principal. Directors can be the head of only one Chapter and each individual school must have a unique Director. The Chapter Director cannot be a Superintendent, STEM Curriculum Director, or someone that provides an equivalent oversight to multiple schools.Director's Name* First Last Director's Title*Director's School Phone*Do not use your mobile phone here.Director's School Email* Chapter Advisor InformationThe NSTEM™ Advisor for each Chapter is the individual who is responsible for the day to day organization and will act as the liaison between faculty, administration, students and community. Each Chapter is led by an Advisor who is often the school’s enthusiastic “STEM Champion”. Chapters can only be started by a school, not by a student that attends that school.Advisor's Name* First Last Advisor's Title*Advisor's School Phone*Do not use your mobile phone here.Advisor's School Email* Other InformationHow did you hear about NSTEM?*Article/BlogCollegueConferenceInternet SearchEmail OutreachPhone CallSocial MediaPartner/OrganizationReferralStudent/ParentOtherOther*If you have selected "Other", please write where you heard about NSTEM.Chapter Consent* I Confirm I am Staff Member of my School and Not a StudentPrivacy Policy Consent* Indicate that you have read and agree to the NSTEM™ Privacy PolicyTerms of Use Consent* Indicate that you have read and agree to the NSTEM™ Terms of UseConstitution Consent* Indicate that you have read and agree to the NSTEM™ ConstitutionMedia Release Consent* Indicate that you have read and agree to the NSTEM™ Media Release and ConsentTrademark Usage* Indicate that you have read and agree to the NSTEM™ Trademark Usage GuidelinesPayment InformationChoose Your Payment Method*We accept Visa, MasterCard, American Express, and DiscoverPayment MethodCredit CardPay by CheckPay by Purchase Order (PO)ACHPurchase Order (PO) Number*Please send a copy of your PO to po@nstem.org.Billing Name* First Last Billing Phone*Billing Email* School Business Office Name*School Business Office Email* Billing Address* Same as previous Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Δ
