Register Your MAPS Team

Fill out the registration form below to launch your 2016-2017 MAPS Team! If you have any questions, please contact Diane Munzenmaier (munzenmaier@msoe.edu - 414-277-2805).

* Indicates required fields

School Information

*School Name:
*School Address:

*City / State:
*Zip Code:
- -
*School Phone:
*School Type:
*School Level:

Teacher Information

*Teacher:
*Preferred Email:
Alternate Email (optional):
- -
Cell Phone (optional):
*List Any CBM Courses Attended and the Year:

*Which, if any of the following teaching resources do you own?

Water Kit
Amino Acid Molymod Kit
Amino Acid Starter Kit
Insulin mRNA to Protein Kit

*Do you anticipate purchasing a 3D printed protein model(s) of your team's design from the CBM during the school year? ($250 each)




*Do you have access to a 3D printer in your school or home? If so, what make/model?




*What type of event would you like to present your work at the end of the year? (local, regional, national, etc.)







Team Information:

*What is your primary motivation for participating in the MAPS program?



*Have you had a SMART or MAPS Team in the past? If so, what year(s)?



*How do you expect to utilize the MAPs program? Integrated or outside of class? Throughout the year or concentrated at certain time(s) of the year? If concentrated, when?



*Please list the names of your team members if known.



Additional comments or questions:




SMART Teams are funded by NCRR, HHMI and the CTSI of Southeastern Wisconsin

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