STEMx Competition Application Form

Applicant Type

Select the type of applicant you are submitting this form for.

School Registration

Team Registration

Individual Student Registration

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School Name

Please enter the name of your school.

This field is required.

School Address

Provide the full address of your school.

Address Line 1

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Address Line 2

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City

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State

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Postal Code

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Country

School Email

Enter the official school email address.

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School Contact Number

Provide a primary contact number for your school.

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School Representative (Teacher/Coach)

Name of the representative from your school.

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Representative’s Phone Number

Contact number of the representative.

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Representative’s Email Address

Official email address of the representative.

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Team Name (if applicable)

Enter the team name, if registering as a team.

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Number of Participants

Enter the number of students participating (1-5).

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Full Names of Participants

List the full names of all participants, separated by commas.

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Grade Level / Class

Specify the grade level or class for participants.

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Age Range

Provide the age range of participants (e.g., 7-15).

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Gender

Select the gender of participants.

Male

Female

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STEM Focus Area

Select the main focus area of your project or idea.

Science Innovation

Technology & Coding

Engineering & Robotics

Mathematics & Data

Environmental or Social Innovation

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Brief Description of Project or Idea

Provide a brief description of your project or idea, if any.

Preferred Competition Category

Choose the preferred category for competition.

Primary School

Junior Secondary

Senior Secondary

Open/Independent

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Have you participated in any STEM competitions before?

Indicate if you have participated in other STEM competitions.

Yes

No

This field is required.

If Yes, please specify

If you answered Yes, please provide details about previous competitions.

Do you need mentoring or guidance from SpedMic facilitators?

Let us know if you require guidance from our facilitators.

Yes

No

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Primary Contact Person Name

Name of the primary contact person for follow-up.

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Phone Number

Provide a contact number for the primary contact person.

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Email Address

Enter the email address for the primary contact person.

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Declaration

Please confirm that the information provided is accurate and that your school/team agrees to the guidelines.

This field is required.