Project Lead The Way® : Engineering Curriculum : Middle School : Standard of Excellence Program Application Form

Please complete the following information. PLTW® will then email the materials you will need to complete the process. If you have any questions, please send them to certification@pltw.org

Name of Principal:
School District:
School Name:
School Address 1:
Address 2:
City:
State:		Zip:
School Telephone Number (with Area Code):
School Fax Number (with Area Code):
Principal's Email Address:
Does your school policy allow students to appear in digital photos?
	Yes No
If Yes:	Using their first names only? Using their pictures but without their names?
Will you sign a PLTW® Release form to allow us to use your 4 - 8 power point slides and/or digital photos on our website or in other ways specified in the QA section on this program?
	Yes No