NSERC Initiative Order Form

Please use this order form ONLY if you live and teach in Canada (outside of Ontario).

Please complete all required sections of the order form below.

SPECIAL INITIATIVE

* Please select your Special Initiative:

SCHOOL/TEACHER INFORMATION

* School District

* School Name

NOTE: Please use the full school name
(Example: Forest Wheeler Elementary School NOT Wheeler)

School Address (Will NOT ship to P.O. Box)

* Street

* City

* Province
DO NOT ENTER ONTARIO

* Postal Code

* Country

* Teacher Name

* Teacher Email

* Did you attend an AWIM workshop?
No
Yes

Where:

When:

In which grades do you plan to use A World in Motion®? (select all that apply)
1
2
3
4 5
6
7
8 9
10
11
12

* Has your principal/administrator approved the use of AWIM?
(SAE will only send kits to teachers with administrative approval)
Yes
No

* Principal's Email:

(Your principal will be carbon copied on your order confirmation email.)

CLASSROOM MATERIALS

SAE International will provide a classroom materials kit to K-12 teachers only.
Please select the kit your special initiative supports.

Elementary

Skimmer Materials Kit

JetToy Materials Kit

If you have ordered Skimmer or JetToy materials in the past, please select one of the following:

Skimmer Partial Materials Kit
(contains all materials except fans)

JetToy Partial Materials Kit
(contains all materials except pumps)

Middle School

Motorized Toy Car Materials Kit

Glider Materials Kit

Fuel Cell Challenge

Specific Order Requests:

PARTNER INFORMATION

Note: A partner is a representative from your special initiative. The role of the partner is to contribute to the students' understanding of the engineering design, scientific, or technology experience.

* Partner Name:

* Partner Telephone:

* Partner Email:

* Partner Employer Name:

Partner Occupation:

Partner Employer Address

* Street:

* City:

* State:

* Zip:

Is the partner an SAE member?
Unknown
No
Yes
Section name:

* I agree to credit SAE International as the originator of the A World In Motion® curriculum in any publicity, interviews, or articles resulting in the use of the program.

ORDER CONFIRMATION
You will receive an email confirmation that your order has been placed within one week of submitting this online form. If you do not receive this confirmation, please contact us at awimorder@sae.org or 1 (800) 457-2946.