Host a Student Chapter Sign Up Form Name * First Name Last Name Email * Phone (###) ### #### Company Name * Job Title * What is your area(s) of expertise or experience? Please choose all that apply. * Aerospace Chemical Engineering Civil Engineering Computer Science Engineering Electrical Engineering Environmental Engineering Industrial/Manufacturing/Systems Materials Engineering Mechanical Engineering Metallurgical Engineering Other If you chose "Other" above, please describe. What age group are you looking to work with? Please choose all that apply. * High School (grades 9-12) University (undergraduate/graduate students) What size group can your company accommodate? 1 - 10 11 - 25 26 - 50 50+ Additional Info/Message (optional) Thank you for your interest in hosting a student group. We will be contacting you shortly.