PLTW Certifications - Middle School Recognition Application

middle school recognition program application

Project Lead The Way Gateway to Technology Middle/Junior High 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 Lisa Bobrischew, Coordinator of Middle School Recognition Program.

Name of Principal:

School District:

School Name:

School
Address1:
Address2:
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

Please contact Lisa Anne Bobrischew, Coordinator of Middle School Recognition Program, at lbobrischew@pltw.org or at 518-877-6491, Ext. 321 with your questions.