Special Initiatives - Nissan Communities - Order Form

Please use this order form ONLY if you are a teacher working with the Nissan Communities

Please complete all required sections of the order form below

Nissan Communities

SPECIAL INITIATIVE
Please select your Special Innitative:
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:
County:
Zip:
Country
Teacher Name:
Teacher Email:
Best Contact Number:
(For Volunteer to reach you)

Did you attend an AWIM workshop?:

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

No
Yes
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

Each kit contains enough materials for 24-28 students (in design teams)

Primary
Rolling Things Materials Kit
Pinball Designer Materials Kit
Engineering Inspired By Nature Materials Kit
Straw Rockets Materials Kit
Making Music Materials Kit
Making Music Replacement Kit (Consumable Materials)
Elementary
Skimmer Materials Kit
Gravity Cruiser Materials Kit
JetToy Materials Kit
Motorized Toy Car Materials Kit
Glider Materials Kit
Fuel Cell Classroom Materials Kit
Programming Each Other Challenge
Cybersecurity: Keeping Our Networks Secure Challenge
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 - Please order a partial kit if you participated last year.)
JetToy Partial Materials Kit (contains all materials except pumps - Please order a partial kit if you participated last year.)
Glider Materials Partial Kit (contains all materials except meter sticks and glue guns).
Specific Order Request:
PARTNER INFORMATION
Note: A partner is a representative from your special initiative. The role of the partner is to contribute to the students' understanding of the engineering desing,scientific, or technology experience.

Partner Name:
Partner Employer Name:
Partner Occupation
Partner Employer Address
Street:
City:
State:
Zip:
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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