Join

Complete the following to apply to be a STEM Advancement Inc Affiliate School. Payment can be made by PalPal, credit card below OR a check can be mailed to:  Mississippi Robotics, 156 Matt Lee Road, Pinola MS 39149. The payment link is HERE.

Your benefits begin the day you make your payment. You must pay within 30 days of signing up. Sign-up’s will be limited.

    Affiliate Contact First Name (required)

    Affiliate Contact Last Name (required)

    Affiliate Contact Email (required)

    Affiliate Contact Phone (required)

    Affiliate School Name (required)

    Affiliate School Address (required)

    Affiliate School City/State (required)

    Affiliate School Zip Code (required)

    Affiliate School County (required)

    Affiliate Headmaster/Principal First Name (required)

    Affiliate Headmaster/Principal Last Name (required)

    Affiliate Headmaster/Principal Email (required)

    Affiliate Headmaster/Principal Phone (required)

    How many K-5th students attend your school? (required)

    How many 6th-8th students attend your school? (required)

    How many 9th-12th students attend your school? (required)

    Which Affiliate School Level are you applying for?

    When approved, your Affiliate annual date will be your payment date. Payment must be paid within 30 days.

    After submitting your information please make your payment below. You should receive a confirmation email. Please check your SPAM folder. If you do not receive the email please let us know by sending an email to: msrobotics.stem@gmail.com

    STEM Affiliate Program
    Contact Name / School Name
    STEM Affiliate Schools