FieldSTEM Celebration Registration Form

2021 Annual FieldSTEM Celebration

Wednesday, November 10, 2021  |  4 PM to 6 PM

Olympia Ballroom

116 Legion Way SE

Olympia, WA 98501

Pacific Education Institute
Hidden Fields

Each year, PEI recognizes individuals and organizations that exemplify our vision of promoting scientifically literate people, empowered to make balanced, well-informed decisions for sustainable communities, through our FieldSTEM celebration. We work with thousands of such individuals from key areas: educators, community partners, schools, school districts, elected officials, workforce professionals, natural resource employers, academic experts and education policy makers. It takes all of us to offer the support educators need to effectively implement FieldSTEM.

Personal Details



Video/Photo Release
Please review and accept this release if you are willing to have your image used for PEI's communications purposes:

I give permission for the Pacific Education Institute (PEI) to use, without limitation or obligation, video, photographs or other media that may identify or include the image or voice of me to promote or interpret PEI programs for any business purpose, including media coverage. I waive all claims for any compensation for such use.
Donation
If you are interested in supporting our FieldSTEM work with a monetary donation, please complete the information below. We have a suggested donation amount of $75, but please feel free to make a donation that is meaningful to you. Your donation is tax-deductible. We appreciate your support!
If donating by check, please mail to: Pacific Education Institute, 724 Columbia St. NW, Suite #255, Olympia, WA 98501.
Credit Card Information
iATS Details
Email List Opt-In
Review Registration Information
Please verify that all of your information is entered correctly before clicking confirm.

If you hit confirm below and you are not taken to the next page, please scroll to the top of the form to see if there is an error message. If you have any questions about your registration, please contact our Program Manager, Katie Hatam, at khatam@pacificeducationinstitute.org.