Please fill out this form to complete your Betabox Guide profile. 1School Information2My Information3Final Questions HiddenSource HiddenCampaign(Required) School Name Unique IDState(Required)In which state is your school located?(Select State)AlabamaAlaska (Unavailable)ArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaii (Unavailable)IdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCounty (SC)(Required)In which county is your school located?(Select County)AbbevilleAikenAllendaleAndersonBambergBarnwellBeaufortBerkeleyCalhounCharlestonCherokeeChesterChesterfieldClarendonColletonDarlingtonDillonDorchesterEdgefieldFairfieldFlorenceGeorgetownGreenvilleGreenwoodHamptonHorryJasperKershawLancasterLaurensLeeLexingtonMarionMarlboroMcCormickNewberryOconeeOrangeburgPickensRichlandSaludaSpartanburgSumterUnionWilliamsburgYorkCounty (NC)(Required)In which county is your school located?(Select County)AlamanceAlexanderAlleghanyAnsonAsheAveryBeaufortBertieBladenBrunswickBuncombeBurkeCabarrusCaldwellCamdenCarteretCaswellCatawbaChathamCherokeeChowanClayClevelandColumbusCravenCumberlandCurrituckDareDavidsonDavieDuplinDurhamEdgecombeForsythFranklinGastonGatesGrahamGranvilleGreeneGuilfordHalifaxHarnettHaywoodHendersonHertfordHokeHydeIredellJacksonJohnstonJonesLeeLenoirLincolnMcDowellMaconMadisonMartinMecklenburgMitchellMontgomeryMooreNashNew HanoverNorthamptonOnslowOrangePamlicoPasquotankPenderPerquimansPersonPittPolkRandolphRichmondRobesonRockinghamRowanRutherfordSampsonScotlandStanlyStokesSurrySwainTransylvaniaTyrrellUnionVanceWakeWarrenWashingtonWataugaWayneWilkesWilsonYadkinYanceyWe have a great new program available to North Carolina schools! Learn More. My Name(Required) Dr.Mr.Mrs.Ms. Prefix First Last Email(Required) Phone(Required)Extension TitleWhat is your current position at the school? Current Role(Required)Select the role that most closely describes your role. (Select Role)District OfficeSchool AdministratorSTEM EducatorCTE EducatorGeneral Studies EducatorOtherHow many schools are you submitting this application for?Exact or estimated Is Your School Designated Title I? Yes Not sure No Estimated Current Student EnrollmentHow many students are at your school? Estimate your School's Economically Disadvantaged percentageOur programs are typically prioritized for school's with more than 50% economically disadvantaged students. Note: We recognize that officially stated school report card data may not accurately reflect the unique makeup of your school community. If your estimate differs significantly from publicly available data, please share how you determined the percentage you provided. Describe how a Betabox Program could help your students and teachers.Betabox offers hands-on STEM engagement opportunities for students to learn about engineering, technology, and science with Onsite Field Trips. We also offer complimentary memberships for teachers to our K12 platform to access various lesson plans and professional development. Topics include game design, coding, animation, and more!Next Steps: Contact NameWho may we reach out to to schedule a program kickoff call and select dates for Betabox to come to your school? A science or CTE teacher is a good starting place! Contact EmailWhat is the email of your identified contact? Δ
