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Department of Chemistry & Biochemistry

Emerging Chemists Workshop Form

Name:
Home Address:
City: State: Zip:
Phone: Complete E-mail:
School Name:
School Address:
City: State: Zip:
Grade: Current Science Course:
Have you previously attended ECW?

Please choose from the following experiments, four that you would like to attend most:







Click here to submit your online registration




Name:
Home Address:
City: State: Zip:
Phone: Complete E-mail:
School Name:
School Address:
City: State: Zip:
Grade: Current Science Course:
Have you previously attended ECW?

Please choose from the following experiments, four that you would like to attend most:







Click here to submit your online registration