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 2009-2010 School Year
Registration Form

AFA - USA TODAY
Visions of Exploration Program

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CONTACT PERSON

The following person will act on the chapter's behalf. This one person will work directly with the USA TODAY representative and the local schools. Please register one time only.

If your chapter decides to update the number of classrooms, please contact Laine Martens directly. Email: visions@afa.org or phone: 703.247.5800, ext. 4891.

 * = Required Field
Leave this field empty
* Name:
* Title:
* Chapter Name:
* Address:
* City:
* State/Zip
* Daytime Phone #:
  E-mail (optional):
  Fax (optional):

BILLING INFORMATION
The following person will coordinate payments.
* Name:
* Title:
* Chapter Name:
* Address:
* City:
* State / Zip:
* Daytime Phone #:
  E-mail (optional):
  Fax (optional):

PROGRAM OVERVIEW
18 - Week Program Option 28 - Week Program Option
Suggested Grade Levels: 4- 12
Chapter Cost: $114.00 per classroom for renewing chapters; $96.00 for first-time chapters (minimum of 5 classes required in order to get this rate). 		Suggested Grade Levels: 4 - 12
Chapter Cost: $120.00 per Classroom
30 copies of USA TODAY delivered to the school once per week for 18 weeks (the newspapers will include a special label with the Air Force Association's name on it).

Weekly Inside USA TODAY e-newsletter delivered on Sunday evenings (6:00 pm ET) providing education news, featured resources from USA TODAY Education, classroom tips, and more. (Can be delivered to each participating teacher if an email address is provided.) 		20 copies of USA TODAY delivered to the schools once per week for 28 weeks (the newspapers will include a special label with the Air Force Association's name on it).

Weekly Inside USA TODAY e-newsletter delivered on Sunday evenings (6:00 pm ET) providing education news, featured resources from USA TODAY Education, classroom tips, and more. (Can be delivered to each participating teacher if an email address is provided.)
Access to Visions of Exploration STEM Education Resources for teachers located at: www.education.usatoday.com and www.usatoday.com/educate/afaindex.htm Access to Visions of Exploration STEM Education Resources for teachers located at: www.education.usatoday.com and www.usatoday.com/educate/afaindex.htm
Letters to teachers and parents about the program Letters to teachers and parents about the program
Student and Teacher Certificates of Completion Student and Teacher Certificates of Completion
Chapter Facilitator Guide Chapter Facilitator Guide
PROGRAM REGISTRATION

If your chapter sponsors classrooms through the state organization or a central Visions coordinator, please only send one registration form for the whole group.

Returning Chapter Sponsorship

  • Our AFA chapter/organization agrees to sponsor a Visions program in our local community during the 2009-2010 school year. (We agree to fund our share per classroom.)
Returning Sponsor: Total Number of 18-Week programs sponsoring for the 2009-2010 School Year @ $114.00/classroom:
Returning Sponsor: Total Number of 28-Week programs sponsoring for the 2009-2010 School Year @ $120.00/classroom:
Total Number of Schools sponsored for the 2009-2010 school year:

First-Time Chapter Sponsorship

  • Our AFA chapter/organization agrees to sponsor a Visions program in our local community during the 2009-2010 school year. (We agree to fund our share of per classroom/5 class minimum.) First year participation will automatically be verified.

    If your chapter did not participate in Visions during the 2008-2009 school year, your cost per classroom is $96.00. In order to take advantage of this special rate, a minimum of 5 classrooms is required.

First-Time Sponsor: Total Number of 18-Week programs sponsored for the 2009-2010 School Year @ $96.00/classroom:
First-Time Sponsor: Total Number of 28-Week programs sponsored for the 2009-2010 School Year @ $120.00/classroom:
Total Number of Schools (4 teachers per school/maximum 5 schools) sponsoring for the 2009-2010 school year:

CLASSROOM SELECTION

Will you be selecting the classrooms for sponsorship?
Yes
No, please select the classrooms for us.

If no, please specify any criteria you would like us to follow when selecting the classrooms.
(ie; certain counties, school type,etc.)

PAYMENT OPTIONS

Please Bill Me
I wish to pay by credit card - please call Laine Martens directly at: 703.247.5800 ext. 4891


* Authorizing Chapter Representative
* Date

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