John Deere Inspire-AWIM Order Form

Please use this order form ONLY if you are a teacher in one of the John Deere Inspire communities listed in the drop-down menu below.

Please complete all required sections of the order form below



SPECIAL INITIATIVE
Please select your John Deere Inspire Community:(NOTE: you must be located within a 50-mile radius of one of the cities listed below to qualify for this initiative):

Georgia
Augusta

Illinois
Champaign
Quad Cities

Iowa
Des Moines
Dubuque
Ottumwa
Quad Cities
Waterloo

Kansas
Coffeyville

Louisiana
Thibodaux

North Carolina
Raleigh-Durham

Noth Dakota
Fargo
Valley City

Wisconsin
Horicon
SCHOOL/TEACHER INFORMATION
School District:
School Name:
NOTE: Please use the full school name
(Example: Forest Wheeler Elementary School NOT Wheeler)

School Address (Will Not ship to P.O.Box)
Street:
City:
State:
Zip:
Country
Teacher Name:
Teacher Email:
Best Contact Number:
(For volunteer to reach you)

Did you attend an AWIM workshop?:

Yes
No
In which grades do you plan to use A World in Motion®?(select all that apply):
K
1
2
3
4
5
6
7
8
Has your principal/administrator apporoved the use of AWIM?(SAE will only send kits to teachers with administrative approval):

Yes
No
Principal's Email:
(Your prinipal will be carbon copied on your order confirmation email)

CLASSROOM MATERIALS
SAE International will provide a classroom materials kit to K-12 teacher only.

Please select the kit your special initiative supports

Primary
Rolling Things Materials Kit
Pinball Designer Materials Kit
Engineering Inspired By Natural Materials Kit
Straw Rockets Materials Kit
Making Music Kit
Making Music Replacement Kit (Consumable Materials)
Elementary
Skimmer Materials Kit
Gravity Cruiser Materials Kit
JetToy Materials Kit
Programming Each Other Challenge
Middle School
Motorized Toy Car Materials Kit
Glider Materials Kit
Fuel Cell Classroom Materials Kit
Cybersecurity: Keeping Our Networks Secure Challenge
Partial Kits
If you have ordered Skimmer, JetToy or Glider materials in the past, please select one of the following:
Skimmer Partial Materials Kit (contains all materials except fans)
JetToy Partial Materials Kit (contains all materials except pumps)
Glider Materials Partial Kit (contains all materials except meter sticks and glue guns).
Specific Order Request:
VOLUNTEER INFORMATION
Note: A volunteer is a John Deere employee that will participate in your classroom with your students. Their role is to contribute to the students' understanding of enginnering design, scientific, or technology experience.

Do you currently have a volunteer working in your classroom?:

Yes
No
I agree to credit SAE International as the originator of the A World in Motion® curriculum in any publicity, interviews, or articles resulting from the use of the program.
I would like to receive product announcements and special offers from SAE International via e-mail:

Accept Decline

ORDER CONFIRMATION
You will receive an email confirmation that your order has been placed within one week of submitting this online form. If you do not receive this confirmation, please contact us at awimorder@sae.org or 1 (800) 457-2946.


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